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 $28.18 Median $56.23 Typical High $77.62 | Facility | None | $28.18 | $56.23 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $56.23 | Professional | None | $41.69 | $53.70 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $97.72 | Facility | None | $56.23 | $66.07 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $54.95 | Professional | None | $35.48 | $48.98 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $104.71 | Facility | None | $54.95 | $66.07 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $104.71 | Professional | None | $61.66 | $81.28 | $104.71 |
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 $29.51 Median $47.86 Typical High $331.13 | Professional | None | $29.51 | $47.86 | $331.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $60.26 | Professional | None | $40.74 | $50.12 | $60.26 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $26.30 | $28.18 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $51.29 Median $52.48 Typical High $53.70 | Professional | GO · Occupational therapy plan | $51.29 | $52.48 | $53.70 |
Where Kentucky 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.
Kentucky· 43rd of 51
$48.98
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.