How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $70.79 Median $89.13 Typical High $125.89 | Facility | None | $70.79 | $89.13 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $70.79 Typical High $72.44 | Professional | None | $28.84 | $70.79 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $120.23 | Professional | None | $23.99 | $41.69 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $177.83 | Facility | None | $70.79 | $102.33 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | None | $58.88 | $70.79 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $97.72 | Facility | None | $69.18 | $69.18 | $97.72 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $79.43 | Professional | None | $38.02 | $50.12 | $79.43 |
United Setting Professional Modifier None Typical Low $39.81 Median $102.33 Typical High $102.33 | Professional | None | $39.81 | $102.33 | $102.33 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $30.20 Median $151.36 Typical High $281.84 | Facility | GO · Occupational therapy plan | $30.20 | $151.36 | $281.84 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $46.77 Median $169.82 Typical High $251.19 | Facility | GP · Physical therapy plan | $46.77 | $169.82 | $251.19 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in Virginia. 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.
Alaska· 1st of 51
$70.79
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.