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 $19.50 Median $50.12 Typical High $354.81 | Facility | None | $19.50 | $50.12 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $28.84 | Professional | None | $19.50 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $85.11 | Professional | None | $21.88 | $25.70 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $125.89 Typical High $204.17 | Facility | None | $53.70 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $91.20 | Professional | None | $22.39 | $33.88 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $40.74 Typical High $134.90 | Facility | None | $34.67 | $40.74 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $54.95 | Professional | None | $37.15 | $38.02 | $54.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $48.98 | Professional | None | $22.39 | $31.62 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $89.13 | Facility | None | $17.78 | $17.78 | $89.13 |
MVP Health Care Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | None | $24.55 | $24.55 | $42.66 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $41.69 | Facility | None | $32.36 | $32.36 | $41.69 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $38.02 | Professional | None | $15.85 | $23.99 | $38.02 |
Univera Setting Facility Modifier None Typical Low $17.78 Median $38.02 Typical High $114.82 | Facility | None | $17.78 | $38.02 | $114.82 |
Univera Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $43.65 | Professional | None | $18.62 | $31.62 | $43.65 |
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 GP · Physical therapy plan Typical Low $18.62 Median $25.70 Typical High $30.90 | Professional | GP · Physical therapy plan | $18.62 | $25.70 | $30.90 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $8.51 Median $8.51 Typical High $22.91 | Professional | 59 · Distinct service | $8.51 | $8.51 | $22.91 |
Highmark BCBS Setting Professional Modifier GO · Occupational therapy plan + GP · Physical therapy plan Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | GO · Occupational therapy plan + GP · Physical therapy plan | $27.54 | $27.54 | $27.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $21.38 | $24.55 |
Where New York 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.
New York· 45th of 51
$25.70
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.