How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $30.90 Median $134.90 Typical High $338.84 | Facility | None | $30.90 | $134.90 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $54.95 | Professional | None | $30.90 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | 52 · Reduced service | $15.49 | $17.78 | $22.91 |
AvMed Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $70.79 | Facility | None | $54.95 | $69.18 | $70.79 |
AvMed Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $70.79 | Professional | None | $53.70 | $67.61 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $53.70 | Professional | None | $43.65 | $47.86 | $53.70 |
Florida Blue Setting Facility Modifier None Typical Low $46.77 Median $123.03 Typical High $131.83 | Facility | None | $46.77 | $123.03 | $131.83 |
Florida Blue Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $46.77 | Professional | None | $31.62 | $45.71 | $46.77 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $158.49 | Professional | None | $52.48 | $74.13 | $158.49 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $60.26 | Professional | None | $34.67 | $43.65 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | None | $67.61 | $69.18 | $69.18 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | GO · Occupational therapy plan | $53.70 | $53.70 | $57.54 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 51st of 51
$45.71
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.