How much rates vary
Facilitymedian $87 · 10th to 90th $24 to $191Professionalmedian $33 · 10th to 90th $17 to $79
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 $14.45 Median $29.51 Typical High $141.25 | Facility | None | $14.45 | $29.51 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $42.66 | Professional | None | $14.45 | $23.99 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $75.86 Typical High $83.18 | Professional | None | $35.48 | $75.86 | $83.18 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $109.65 Typical High $181.97 | Facility | None | $47.86 | $109.65 | $181.97 |
Blue Shield Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $38.02 | Professional | None | $21.88 | $30.90 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.60 Median $40.74 Typical High $50.12 | Professional | None | $16.60 | $40.74 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $316.23 Typical High $316.23 | Facility | None | $26.92 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $64.57 | Professional | None | $23.99 | $30.20 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $53.70 | Professional | None | $11.22 | $16.60 | $53.70 |
HealthNet Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | None | $29.51 | $38.90 | $69.18 |
Lucent Health Setting Professional Modifier None Typical Low $42.66 Median $288.40 Typical High $295.12 | Professional | None | $42.66 | $288.40 | $295.12 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $70.79 | Professional | None | $12.30 | $15.49 | $70.79 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $35.48 Typical High $69.18 | Facility | None | $23.99 | $35.48 | $69.18 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $60.26 | Professional | None | $23.99 | $30.20 | $60.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $61.66 | Professional | None | $27.54 | $40.74 | $61.66 |
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 59 · Distinct service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 59 · Distinct service | $29.51 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | GN · Speech therapy plan | $31.62 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | GO · Occupational therapy plan | $31.62 | $31.62 | $35.48 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $29.51 Median $31.62 Typical High $37.15 | Professional | GP · Physical therapy plan | $29.51 | $31.62 | $37.15 |
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $60.26 Median $97.72 Typical High $125.89 | Professional | GP · Physical therapy plan | $60.26 | $97.72 | $125.89 |
Where California 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.
California· 29th of 51
$33.11
AK $70.79VA $22.39
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.