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 $28.84 Median $28.84 Typical High $97.72 | Facility | None | $28.84 | $28.84 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | None | $25.12 | $28.84 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $39.81 Median $41.69 Typical High $53.70 | Professional | GP · Physical therapy plan | $39.81 | $41.69 | $53.70 |
BCBS Arkansas Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $47.86 | Facility | None | $33.88 | $33.88 | $47.86 |
BCBS Arkansas Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $41.69 | Professional | None | $13.80 | $19.50 | $41.69 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | GP · Physical therapy plan | $47.86 | $47.86 | $61.66 |
United Setting Facility Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Facility | None | $28.84 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $38.90 | Professional | None | $27.54 | $30.90 | $38.90 |
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 $41.69 Median $53.70 Typical High $53.70 | Professional | GO · Occupational therapy plan | $41.69 | $53.70 | $53.70 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | GO · Occupational therapy plan | $61.66 | $61.66 | $61.66 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in Ohio. 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.
Arkansas· 7th of 51
$43.65
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.