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 $25.12 Median $25.12 Typical High $31.62 | Facility | None | $25.12 | $25.12 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | None | $25.12 | $25.12 | $26.92 |
BCBS Michigan Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $66.07 | Facility | None | $35.48 | $50.12 | $66.07 |
BCBS Michigan Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $53.70 | Facility | None | $15.14 | $15.14 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $75.86 | Professional | None | $25.12 | $30.90 | $75.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.12 Median $39.81 Typical High $95.50 | Facility | None | $25.12 | $39.81 | $95.50 |
Health Alliance Plan Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $40.74 | Professional | None | $24.55 | $25.12 | $40.74 |
Priority Health Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $67.61 | Professional | None | $22.91 | $29.51 | $67.61 |
United Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $35.48 | Facility | None | $25.70 | $32.36 | $35.48 |
United Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $33.88 | Professional | None | $28.18 | $29.51 | $33.88 |
6 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 $27.54 Median $27.54 Typical High $27.54 | Professional | GO · Occupational therapy plan | $27.54 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | GP · Physical therapy plan | $27.54 | $28.84 | $28.84 |
Health Alliance Plan Setting Facility Modifier GO · Occupational therapy plan Typical Low $33.88 Median $67.61 Typical High $100.00 | Facility | GO · Occupational therapy plan | $33.88 | $67.61 | $100.00 |
Health Alliance Plan Setting Facility Modifier GP · Physical therapy plan Typical Low $50.12 Median $83.18 Typical High $102.33 | Facility | GP · Physical therapy plan | $50.12 | $83.18 | $102.33 |
Health Alliance Plan Setting Professional Modifier GO · Occupational therapy plan Typical Low $43.65 Median $81.28 Typical High $123.03 | Professional | GO · Occupational therapy plan | $43.65 | $81.28 | $123.03 |
Health Alliance Plan Setting Professional Modifier GP · Physical therapy plan Typical Low $32.36 Median $47.86 Typical High $100.00 | Professional | GP · Physical therapy plan | $32.36 | $47.86 | $100.00 |
Where Michigan 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.
Michigan· 42nd of 51
$26.30
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.