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 $28.84 Median $74.13 Typical High $165.96 | Facility | None | $28.84 | $74.13 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $34.67 | Professional | None | $19.95 | $28.84 | $34.67 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $25.70 Typical High $34.67 | Professional | GP · Physical therapy plan | $23.99 | $25.70 | $34.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.39 Median $97.72 Typical High $144.54 | Facility | None | $22.39 | $97.72 | $144.54 |
BCBS Arizona Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $29.51 | Professional | None | $19.95 | $26.30 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $42.66 | Professional | None | $26.92 | $30.90 | $42.66 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $48.98 Typical High $162.18 | Facility | None | $28.84 | $48.98 | $162.18 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $288.40 | Professional | None | $27.54 | $40.74 | $288.40 |
United Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $40.74 | Professional | None | $28.18 | $34.67 | $40.74 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | CQ · PT assistant | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | GO · Occupational therapy plan | $24.55 | $24.55 | $27.54 |
Where Arizona 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.
Arizona· 34th of 51
$30.90
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.