How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.88 Median $37.15 Typical High $43.65 | Facility | None | $33.88 | $37.15 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | None | $33.11 | $33.88 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $100.00 | Facility | None | $57.54 | $57.54 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $27.54 Typical High $66.07 | Professional | None | $26.92 | $27.54 | $66.07 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service + GO · Occupational therapy plan + GP · Physical therapy plan Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 59 · Distinct service + GO · Occupational therapy plan + GP · Physical therapy plan | $32.36 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $67.61 | Professional | None | $23.44 | $32.36 | $67.61 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $66.07 Median $112.20 Typical High $154.88 | Facility | GP · Physical therapy plan | $66.07 | $112.20 | $154.88 |
Where West Virginia 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.
West Virginia· 25th of 51
$33.88
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.