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 $38.02 Typical High $51.29 | Facility | None | $25.70 | $38.02 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $37.15 | Professional | None | $17.78 | $25.12 | $37.15 |
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 Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $54.95 | Professional | None | $12.88 | $15.85 | $54.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | None | $35.48 | $37.15 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $64.57 | Professional | None | $17.38 | $22.91 | $64.57 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $162.18 | Facility | None | $34.67 | $66.07 | $162.18 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $288.40 | Professional | None | $26.30 | $37.15 | $288.40 |
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 $25.70 Median $33.88 Typical High $50.12 | Professional | None | $25.70 | $33.88 | $50.12 |
2 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 $23.44 Median $25.70 Typical High $27.54 | Professional | GO · Occupational therapy plan | $23.44 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $25.70 Typical High $32.36 | Professional | GP · Physical therapy plan | $25.70 | $25.70 | $32.36 |
Where Missouri 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.
Missouri· 49th of 51
$23.99
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.