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 $35.48 Median $50.12 Typical High $83.18 | Facility | None | $35.48 | $50.12 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $35.48 Typical High $45.71 | Professional | None | $15.85 | $35.48 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $79.43 | Professional | None | $37.15 | $38.02 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $87.10 | Professional | None | $29.51 | $29.51 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $91.20 | Facility | None | $36.31 | $69.18 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | None | $25.12 | $38.90 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $75.86 | Facility | None | $38.02 | $66.07 | $75.86 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $69.18 Typical High $91.20 | Facility | None | $33.88 | $69.18 | $91.20 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $87.10 | Professional | None | $37.15 | $54.95 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $151.36 | Facility | None | $69.18 | $104.71 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $45.71 | Professional | None | $41.69 | $43.65 | $45.71 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $56.23 | Facility | None | $38.90 | $38.90 | $56.23 |
United Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $81.28 | Professional | None | $33.88 | $40.74 | $81.28 |
7 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 |
|---|---|---|---|---|---|
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | GP · Physical therapy plan | $85.11 | $85.11 | $85.11 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $43.65 Median $89.13 Typical High $117.49 | Facility | GO · Occupational therapy plan | $43.65 | $89.13 | $117.49 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $70.79 Median $107.15 Typical High $199.53 | Facility | GP · Physical therapy plan | $70.79 | $107.15 | $199.53 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $23.44 Median $41.69 Typical High $144.54 | Professional | 59 · Distinct service | $23.44 | $41.69 | $144.54 |
Moda Health Setting Professional Modifier CQ · PT assistant Typical Low $27.54 Median $32.36 Typical High $95.50 | Professional | CQ · PT assistant | $27.54 | $32.36 | $95.50 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $35.48 Median $79.43 Typical High $104.71 | Professional | GO · Occupational therapy plan | $35.48 | $79.43 | $104.71 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $38.90 Typical High $107.15 | Professional | GP · Physical therapy plan | $25.70 | $38.90 | $107.15 |
Where Oregon 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.
Oregon· 11th of 51
$42.66
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.