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 $30.90 Median $47.86 Typical High $77.62 | Facility | None | $30.90 | $47.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $44.67 | Professional | None | $15.14 | $30.20 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $70.79 | Professional | None | $33.88 | $35.48 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $91.20 | Professional | None | $61.66 | $70.79 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $51.29 Typical High $85.11 | Facility | None | $30.20 | $51.29 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | None | $25.12 | $36.31 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $66.07 | Facility | None | $38.90 | $64.57 | $66.07 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $69.18 Typical High $91.20 | Facility | None | $30.90 | $69.18 | $91.20 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $79.43 | Professional | None | $33.88 | $53.70 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $134.90 | Facility | None | $58.88 | $89.13 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $40.74 | Professional | None | $37.15 | $38.90 | $40.74 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $51.29 | Facility | None | $35.48 | $35.48 | $51.29 |
United Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $72.44 | Professional | None | $31.62 | $34.67 | $72.44 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $58.88 Median $95.50 Typical High $165.96 | Facility | GO · Occupational therapy plan | $58.88 | $95.50 | $165.96 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $50.12 Median $95.50 Typical High $131.83 | Facility | GP · Physical therapy plan | $50.12 | $95.50 | $131.83 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $13.18 Median $43.65 Typical High $85.11 | Professional | GO · Occupational therapy plan | $13.18 | $43.65 | $85.11 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $22.39 Median $50.12 Typical High $114.82 | Professional | GP · Physical therapy plan | $22.39 | $50.12 | $114.82 |
Where Oregon 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.
Oregon· 12th of 51
$38.90
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.