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 $24.55 Median $25.70 Typical High $38.02 | Facility | None | $24.55 | $25.70 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $33.88 | Professional | None | $19.50 | $24.55 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $28.18 Typical High $41.69 | Facility | None | $23.99 | $28.18 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $32.36 | Professional | None | $19.05 | $24.55 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $41.69 | Facility | None | $25.70 | $34.67 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $41.69 | Professional | None | $30.20 | $31.62 | $41.69 |
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 $15.49 Median $26.30 Typical High $154.88 | Professional | None | $15.49 | $26.30 | $154.88 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $33.11 | Professional | None | $21.38 | $28.18 | $33.11 |
4 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 59 · Distinct service Typical Low $19.50 Median $19.50 Typical High $30.90 | Professional | 59 · Distinct service | $19.50 | $19.50 | $30.90 |
Ambetter Setting Professional Modifier CQ · PT assistant Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | CQ · PT assistant | $27.54 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | GO · Occupational therapy plan | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $24.55 Median $26.92 Typical High $45.71 | Professional | GP · Physical therapy plan | $24.55 | $26.92 | $45.71 |
Where Kentucky 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.
Kentucky· 46th of 51
$24.55
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.