How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.12 Median $31.62 Typical High $53.70 | Facility | None | $25.12 | $31.62 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | None | $25.12 | $25.12 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $83.18 | Professional | None | $33.88 | $33.88 | $83.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $79.43 | Professional | None | $37.15 | $38.90 | $79.43 |
United Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $69.18 | Professional | None | $33.11 | $41.69 | $69.18 |
Well Sense Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | GO · Occupational therapy plan | $28.84 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | GP · Physical therapy plan | $28.84 | $28.84 | $28.84 |
Where New Hampshire 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.
New Hampshire· 27th of 51
$33.88
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.