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 $54.95 Median $54.95 Typical High $69.18 | Facility | None | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $26.92 | $27.54 | $27.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $128.82 | Facility | None | $72.44 | $97.72 | $128.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None | $61.66 | $64.57 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $83.18 | Facility | None | $50.12 | $50.12 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $158.49 | Professional | None | $38.02 | $54.95 | $158.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $147.91 | Facility | None | $53.70 | $87.10 | $147.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $66.07 | Professional | None | $46.77 | $52.48 | $66.07 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $83.18 | Professional | None | $37.15 | $52.48 | $83.18 |
United Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $75.86 | Facility | None | $54.95 | $69.18 | $75.86 |
United Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | None | $45.71 | $54.95 | $60.26 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $38.90 Median $52.48 Typical High $61.66 | Professional | GO · Occupational therapy plan | $38.90 | $52.48 | $61.66 |
BCBS Michigan Setting Professional Modifier GO · Occupational therapy plan Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | GO · Occupational therapy plan | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $89.13 Median $120.23 Typical High $194.98 | Facility | GO · Occupational therapy plan | $89.13 | $120.23 | $194.98 |
Where Michigan 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.
Michigan· 38th of 51
$54.95
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.