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 $44.67 Median $91.20 Typical High $107.15 | Facility | None | $44.67 | $91.20 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $91.20 Typical High $102.33 | Professional | None | $41.69 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $21.88 | $45.71 | $51.29 |
BCBS Mississippi Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $72.44 | Professional | None | $29.51 | $43.65 | $72.44 |
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 Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $75.86 | Facility | None | $61.66 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $58.88 | Professional | None | $39.81 | $52.48 | $58.88 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | GO · Occupational therapy plan | $63.10 | $63.10 | $63.10 |
Where Mississippi 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.
Mississippi· 33rd of 51
$57.54
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.