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 $25.12 Median $30.20 Typical High $58.88 | Facility | None | $25.12 | $30.20 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | None | $25.12 | $25.12 | $25.70 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $141.25 | Facility | None | $48.98 | $89.13 | $141.25 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $50.12 | Professional | None | $23.99 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $38.02 | Professional | None | $22.91 | $25.70 | $38.02 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $30.20 Typical High $83.18 | Facility | None | $27.54 | $30.20 | $83.18 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $288.40 | Professional | None | $28.18 | $34.67 | $288.40 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $38.90 | Facility | None | $28.18 | $28.18 | $38.90 |
United Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $36.31 | Professional | None | $28.18 | $34.67 | $36.31 |
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 $26.30 Median $26.30 Typical High $33.11 | Professional | GO · Occupational therapy plan | $26.30 | $26.30 | $33.11 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | GP · Physical therapy plan | $26.30 | $26.30 | $33.11 |
Where Oklahoma 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.
Oklahoma· 23rd of 51
$34.67
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.