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 $75.86 Median $158.49 Typical High $169.82 | Facility | None | $75.86 | $158.49 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None | $70.79 | $70.79 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
BCBS Nebraska Setting Facility Modifier None Typical Low $107.15 Median $234.42 Typical High $489.78 | Facility | None | $107.15 | $234.42 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | None | $89.13 | $104.71 | $147.91 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $323.59 | Facility | None | $63.10 | $128.82 | $323.59 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $436.52 | Professional | None | $47.86 | $67.61 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $173.78 | Professional | None | $91.20 | $104.71 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $162.18 | Professional | None | $75.86 | $141.25 | $162.18 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $61.66 | Facility | None | $54.95 | $54.95 | $61.66 |
United Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $144.54 | Professional | None | $47.86 | $58.88 | $144.54 |
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 $52.48 Median $52.48 Typical High $162.18 | Professional | GO · Occupational therapy plan | $52.48 | $52.48 | $162.18 |
Where Nebraska 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.
Nebraska· 6th of 51
$89.13
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.