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 $20.42 Median $21.38 Typical High $208.93 | Facility | None | $20.42 | $21.38 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $38.90 | Professional | None | $20.42 | $21.38 | $38.90 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $64.57 | Professional | None | $22.91 | $24.55 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $77.62 | Professional | None | $20.89 | $37.15 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $81.28 | Professional | None | $41.69 | $41.69 | $81.28 |
Horizon BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | None | $35.48 | $35.48 | $36.31 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $34.67 | Facility | None | $31.62 | $31.62 | $34.67 |
United Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $44.67 | Professional | None | $21.38 | $27.54 | $44.67 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier GP · Physical therapy plan Typical Low $60.26 Median $83.18 Typical High $147.91 | Facility | GP · Physical therapy plan | $60.26 | $83.18 | $147.91 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | GP · Physical therapy plan | $31.62 | $31.62 | $31.62 |
Where New Jersey 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 Jersey· 21st of 51
$35.48
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.