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 $33.88 Median $33.88 Typical High $52.48 | Facility | None | $33.88 | $33.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $34.67 | Professional | None | $25.70 | $33.88 | $34.67 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $36.31 Median $44.67 Typical High $53.70 | Professional | GP · Physical therapy plan | $36.31 | $44.67 | $53.70 |
BCBS Arkansas Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $53.70 | Facility | None | $37.15 | $37.15 | $53.70 |
BCBS Arkansas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $47.86 | Professional | None | $15.49 | $19.50 | $47.86 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | GP · Physical therapy plan | $51.29 | $51.29 | $61.66 |
United Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $34.67 | Facility | None | $31.62 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $41.69 | Professional | None | $27.54 | $34.67 | $41.69 |
5 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 CQ · PT assistant Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | CQ · PT assistant | $39.81 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | GO · Occupational therapy plan | $44.67 | $50.12 | $50.12 |
Qualchoice Setting Professional Modifier CQ · PT assistant Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | CQ · PT assistant | $45.71 | $45.71 | $45.71 |
Qualchoice Setting Professional Modifier GN · Speech therapy plan Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | GN · Speech therapy plan | $51.29 | $51.29 | $51.29 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $57.54 Median $60.26 Typical High $61.66 | Professional | GO · Occupational therapy plan | $57.54 | $60.26 | $61.66 |
Where Arkansas 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.
Arkansas· 7th of 51
$47.86
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.