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 $17.78 Median $47.86 Typical High $295.12 | Facility | None | $17.78 | $47.86 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $30.20 | Professional | None | $17.78 | $19.95 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
AvMed Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $33.88 | Facility | None | $26.30 | $33.11 | $33.88 |
AvMed Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $34.67 | Professional | None | $25.70 | $31.62 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $28.84 | Professional | None | $22.39 | $23.44 | $28.84 |
Florida Blue Setting Facility Modifier None Typical Low $27.54 Median $58.88 Typical High $61.66 | Facility | None | $27.54 | $58.88 | $61.66 |
Florida Blue Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $26.92 | Professional | None | $18.62 | $25.70 | $26.92 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $77.62 | Professional | None | $25.70 | $36.31 | $77.62 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $60.26 | Professional | None | $23.99 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | None | $31.62 | $32.36 | $32.36 |
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 $23.99 Median $25.70 Typical High $26.92 | Professional | GO · Occupational therapy plan | $23.99 | $25.70 | $26.92 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $22.91 Median $25.70 Typical High $26.92 | Professional | GP · Physical therapy plan | $22.91 | $25.70 | $26.92 |
Where Florida 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.
Florida· 40th of 51
$26.92
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.