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 $34.67 Median $38.90 Typical High $295.12 | Facility | None | $34.67 | $38.90 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $42.66 | Professional | None (both parts) | $28.84 | $35.48 | $42.66 |
BCBS Louisiana Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $104.71 | Facility | None | $38.02 | $67.61 | $104.71 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $33.11 | Professional | None (both parts) | $23.99 | $31.62 | $33.11 |
Christus Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.60 Typical High $36.31 | Professional | None (both parts) | $16.22 | $16.60 | $36.31 |
United Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $34.67 | Facility | None | $28.18 | $34.67 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $38.02 | Professional | None (both parts) | $22.91 | $30.90 | $38.02 |
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 GO · Occupational therapy plan Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | GO · Occupational therapy plan | $33.11 | $33.11 | $33.88 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $3.39 Median $26.30 Typical High $33.11 | Professional | GP · Physical therapy plan | $3.39 | $26.30 | $33.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Where Louisiana 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.
Louisiana· 28th of 51
$33.11
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.