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 $38.02 Median $38.02 Typical High $56.23 | Facility | None | $38.02 | $38.02 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $38.90 | Professional | None | $25.70 | $38.02 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $56.23 Typical High $81.28 | Facility | None | $26.30 | $56.23 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $295.12 | Professional | None | $38.02 | $38.90 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $89.13 | Professional | None | $33.11 | $46.77 | $89.13 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $77.62 | Professional | None | $21.38 | $44.67 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $77.62 | Facility | None | $41.69 | $63.10 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $102.33 | Facility | None | $45.71 | $70.79 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $81.28 | Facility | None | $51.29 | $56.23 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | None | $38.02 | $38.02 | $43.65 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $93.33 | Professional | None | $33.88 | $40.74 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $75.86 | Professional | None | $36.31 | $40.74 | $75.86 |
5 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 $64.57 Median $117.49 Typical High $398.11 | Facility | GP · Physical therapy plan | $64.57 | $117.49 | $398.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $28.84 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | CQ · PT assistant | $26.30 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.30 Median $28.84 Typical High $72.44 | Professional | GO · Occupational therapy plan | $26.30 | $28.84 | $72.44 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $28.84 Median $32.36 Typical High $43.65 | Professional | GP · Physical therapy plan | $28.84 | $32.36 | $43.65 |
Where Washington 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.
Washington· 18th of 51
$38.02
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.