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 $25.70 Median $27.54 Typical High $93.33 | Facility | None | $25.70 | $27.54 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $64.57 | Professional | None | $25.70 | $26.92 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $48.98 | Professional | None | $26.92 | $36.31 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $79.43 | Facility | None | $35.48 | $35.48 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $64.57 | Professional | None | $19.50 | $24.55 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | None | $30.20 | $38.90 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | None | $42.66 | $46.77 | $48.98 |
United Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $57.54 | Professional | None | $23.99 | $38.90 | $57.54 |
4 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 $28.18 Median $28.18 Typical High $28.18 | Professional | 59 · Distinct service | $28.18 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $20.89 Median $20.89 Typical High $67.61 | Professional | CQ · PT assistant | $20.89 | $20.89 | $67.61 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.30 Median $27.54 Typical High $57.54 | Professional | GO · Occupational therapy plan | $26.30 | $27.54 | $57.54 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $26.30 Median $28.18 Typical High $54.95 | Professional | GP · Physical therapy plan | $26.30 | $28.18 | $54.95 |
Where Georgia 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.
Georgia· 20th of 51
$35.48
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.