How much rates vary
Facilitymedian $30 · 10th to 90th $2 to $224Professionalmedian $26 · 10th to 90th $20 to $85
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 $16.98 Median $45.71 Typical High $338.84 | Facility | None | $16.98 | $45.71 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $30.90 | Professional | None | $16.98 | $20.89 | $30.90 |
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 $21.88 Median $25.70 Typical High $85.11 | Professional | None | $21.88 | $25.70 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $125.89 Typical High $204.17 | Facility | None | $57.54 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $100.00 | Professional | None | $21.88 | $37.15 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $144.54 | Facility | None | $26.92 | $43.65 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $52.48 | Professional | None | $39.81 | $41.69 | $52.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.82 | Facility | None | $2.34 | $2.34 | $2.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $47.86 | Professional | None | $17.78 | $33.88 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $50.12 | Professional | None | $19.95 | $19.95 | $50.12 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $45.71 | Facility | None | $34.67 | $34.67 | $45.71 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $43.65 | Professional | None | $15.85 | $26.92 | $43.65 |
Univera Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $42.66 | Facility | None | $2.34 | $2.34 | $42.66 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $44.67 | Professional | None | $17.78 | $33.88 | $44.67 |
14 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 GP · Physical therapy plan Typical Low $23.99 Median $31.62 Typical High $33.88 | Professional | GP · Physical therapy plan | $23.99 | $31.62 | $33.88 |
Excellus BCBS Setting Professional Modifier GN · Speech therapy plan Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | GN · Speech therapy plan | $17.78 | $17.78 | $18.20 |
Excellus BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | GO · Occupational therapy plan | $17.78 | $17.78 | $18.20 |
Excellus BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | GP · Physical therapy plan | $17.78 | $17.78 | $18.20 |
Fidelis Setting Professional Modifier GO · Occupational therapy plan Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | GO · Occupational therapy plan | $13.49 | $13.49 | $13.49 |
Fidelis Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $17.78 Typical High $31.62 | Professional | GP · Physical therapy plan | $17.78 | $17.78 | $31.62 |
Fidelis Setting Professional Modifier XE · Separate encounter Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | XE · Separate encounter | $31.62 | $31.62 | $32.36 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $23.44 Median $58.88 Typical High $158.49 | Facility | GO · Occupational therapy plan | $23.44 | $58.88 | $158.49 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $23.44 Median $36.31 Typical High $141.25 | Facility | GP · Physical therapy plan | $23.44 | $36.31 | $141.25 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $30.90 Median $33.88 Typical High $54.95 | Professional | GP · Physical therapy plan | $30.90 | $33.88 | $54.95 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $24.55 | $28.18 |
Univera Setting Professional Modifier GN · Speech therapy plan Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | GN · Speech therapy plan | $17.78 | $18.20 | $18.20 |
Univera Setting Professional Modifier GO · Occupational therapy plan Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | GO · Occupational therapy plan | $17.78 | $18.20 | $18.20 |
Univera Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | GP · Physical therapy plan | $17.78 | $18.20 | $18.20 |
Where New York 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 York· 44th of 51
$25.70
AK $70.79VA $22.39
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.