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 $37.15 Median $72.44 Typical High $165.96 | Facility | None | $37.15 | $72.44 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $75.86 | Professional | None | $29.51 | $34.67 | $75.86 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $22.91 Median $26.92 Typical High $46.77 | Professional | GP · Physical therapy plan | $22.91 | $26.92 | $46.77 |
BCBS Nebraska Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $588.84 | Facility | None | $102.33 | $288.40 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $77.62 | Professional | None | $56.23 | $63.10 | $77.62 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $169.82 | Facility | None | $50.12 | $97.72 | $169.82 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $95.50 | Professional | None | $30.20 | $57.54 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | None | $45.71 | $66.07 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $81.28 | Professional | None | $50.12 | $70.79 | $81.28 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $31.62 | Facility | None | $28.18 | $28.18 | $31.62 |
United Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $97.72 | Professional | None | $28.84 | $33.88 | $97.72 |
1 more rate 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 $26.92 Median $26.92 Typical High $46.77 | Professional | GO · Occupational therapy plan | $26.92 | $26.92 | $46.77 |
Where Nebraska 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.
Nebraska· 4th of 51
$56.23
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.