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 $17.78 Median $39.81 Typical High $295.12 | Facility | None | $17.78 | $39.81 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $34.67 | Professional | None | $17.78 | $19.95 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $36.31 | Facility | None | $28.18 | $35.48 | $36.31 |
AvMed Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $38.90 | Professional | None | $27.54 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $100.00 | Facility | None | $57.54 | $57.54 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $30.90 | Professional | None | $25.12 | $25.70 | $30.90 |
Florida Blue Setting Facility Modifier None Typical Low $27.54 Median $63.10 Typical High $67.61 | Facility | None | $27.54 | $63.10 | $67.61 |
Florida Blue Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | None | $18.62 | $26.30 | $26.30 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $77.62 | Professional | None | $23.44 | $35.48 | $77.62 |
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 $25.12 Median $39.81 Typical High $60.26 | Professional | None | $25.12 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
3 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 $28.84 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $28.84 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $27.54 Median $28.18 Typical High $39.81 | Professional | GO · Occupational therapy plan | $27.54 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $28.18 Typical High $30.20 | Professional | GP · Physical therapy plan | $25.70 | $28.18 | $30.20 |
Where Florida 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.
Florida· 40th of 51
$28.18
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.