How much rates vary
Facilitymedian $46 · 10th to 90th $25 to $107Professionalmedian $26 · 10th to 90th $24 to $45
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 $41.69 Typical High $64.57 | Facility | None | $25.12 | $41.69 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $33.88 | Professional | None | $23.99 | $25.12 | $33.88 |
AmeriHealth Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $41.69 | Professional | None | $22.91 | $22.91 | $41.69 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $85.11 | Professional | None | $38.02 | $44.67 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $89.13 | Facility | None | $67.61 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $169.82 | Professional | None | $24.55 | $28.18 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $81.28 | Professional | None | $34.67 | $47.86 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $67.61 | Professional | None | $29.51 | $37.15 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $70.79 Typical High $117.49 | Facility | None | $25.12 | $70.79 | $117.49 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $27.54 | Professional | None | $13.49 | $25.12 | $27.54 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $54.95 | Professional | None | $22.91 | $32.36 | $54.95 |
Martin's Point Setting Facility Modifier None Typical Low $24.55 Median $41.69 Typical High $87.10 | Facility | None | $24.55 | $41.69 | $87.10 |
Martin's Point Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $29.51 | Professional | None | $23.99 | $25.12 | $29.51 |
Oscar Health Setting Professional Modifier None Typical Low $38.02 Median $63.10 Typical High $794.33 | Professional | None | $38.02 | $63.10 | $794.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $100.00 | Facility | None | $32.36 | $58.88 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
United Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $38.90 | Facility | None | $34.67 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $44.67 | Professional | None | $26.92 | $33.88 | $44.67 |
10 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 GO · Occupational therapy plan Typical Low $57.54 Median $93.33 Typical High $575.44 | Facility | GO · Occupational therapy plan | $57.54 | $93.33 | $575.44 |
Aetna Setting Facility Modifier GP · Physical therapy plan Typical Low $57.54 Median $89.13 Typical High $575.44 | Facility | GP · Physical therapy plan | $57.54 | $89.13 | $575.44 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.30 Median $26.92 Typical High $54.95 | Professional | GO · Occupational therapy plan | $26.30 | $26.92 | $54.95 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $26.92 Typical High $28.84 | Professional | GP · Physical therapy plan | $23.99 | $26.92 | $28.84 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $35.48 Median $70.79 Typical High $128.82 | Facility | GO · Occupational therapy plan | $35.48 | $70.79 | $128.82 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $46.77 Median $81.28 Typical High $128.82 | Facility | GP · Physical therapy plan | $46.77 | $81.28 | $128.82 |
Highmark BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $28.84 Median $32.36 Typical High $39.81 | Professional | GO · Occupational therapy plan | $28.84 | $32.36 | $39.81 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $27.54 Median $28.84 Typical High $54.95 | Professional | GP · Physical therapy plan | $27.54 | $28.84 | $54.95 |
Martin's Point Setting Facility Modifier GO · Occupational therapy plan Typical Low $54.95 Median $93.33 Typical High $588.84 | Facility | GO · Occupational therapy plan | $54.95 | $93.33 | $588.84 |
Martin's Point Setting Facility Modifier GP · Physical therapy plan Typical Low $57.54 Median $89.13 Typical High $575.44 | Facility | GP · Physical therapy plan | $57.54 | $89.13 | $575.44 |
Where Pennsylvania 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.
Pennsylvania· 43rd 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.