How much rates vary
Facilitymedian $55 · 10th to 90th $36 to $87Professionalmedian $40 · 10th to 90th $33 to $54
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 $36.31 Median $41.69 Typical High $54.95 | Facility | None | $36.31 | $41.69 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $38.90 | Professional | None | $25.70 | $34.67 | $38.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $41.69 Median $58.88 Typical High $87.10 | Facility | None | $41.69 | $58.88 | $87.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | None | $39.81 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $67.61 | Facility | None | $34.67 | $41.69 | $67.61 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $51.29 Median $83.18 Typical High $104.71 | Facility | GP · Physical therapy plan | $51.29 | $83.18 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $61.66 | Professional | None | $32.36 | $36.31 | $61.66 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $28.18 Median $41.69 Typical High $46.77 | Professional | GP · Physical therapy plan | $28.18 | $41.69 | $46.77 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $56.23 | Facility | None | $39.81 | $39.81 | $56.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $8.32 Median $39.81 Typical High $52.48 | Professional | None | $8.32 | $39.81 | $52.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $87.10 | Facility | None | $54.95 | $58.88 | $87.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | None | $39.81 | $39.81 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.88 Typical High $95.50 | Facility | None | $33.11 | $33.88 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $66.07 | Professional | None | $33.11 | $36.31 | $66.07 |
United Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $40.74 | Professional | None | $33.11 | $36.31 | $40.74 |
6 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $46.77 Typical High $54.95 | Professional | 78 · Unplanned return to OR | $29.51 | $46.77 | $54.95 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $72.44 Median $85.11 Typical High $100.00 | Facility | GO · Occupational therapy plan | $72.44 | $85.11 | $100.00 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $43.65 Typical High $53.70 | Professional | 59 · Distinct service | $27.54 | $43.65 | $53.70 |
Moda Health Setting Professional Modifier CO · OT assistant Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | CO · OT assistant | $39.81 | $39.81 | $43.65 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $28.18 Median $42.66 Typical High $46.77 | Professional | GO · Occupational therapy plan | $28.18 | $42.66 | $46.77 |
Moda Health Setting Professional Modifier KX · Policy requirements met Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KX · Policy requirements met | $42.66 | $42.66 | $42.66 |
Where Idaho 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.
Idaho· 16th of 51
$39.81
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.