How much rates vary
Facilitymedian $52 · 10th to 90th $35 to $166Professionalmedian $27 · 10th to 90th $15 to $43
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 $20.42 Median $38.02 Typical High $371.54 | Facility | None | $20.42 | $38.02 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $34.67 | Professional | None | $15.49 | $20.89 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $38.02 Median $93.33 Typical High $181.97 | Facility | None | $38.02 | $93.33 | $181.97 |
BCBS Texas Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | None | $23.99 | $26.92 | $26.92 |
Baylor Scott & White Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Christus Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $35.48 | Professional | None | $15.49 | $22.91 | $35.48 |
Health Smart Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $50.12 | Professional | None | $28.84 | $38.90 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $38.90 Median $208.93 Typical High $275.42 | Professional | None | $38.90 | $208.93 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $154.88 | Facility | None | $20.42 | $38.02 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $25.12 Typical High $32.36 | Professional | None | $15.49 | $25.12 | $32.36 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $28.18 Typical High $34.67 | Professional | None | $5.13 | $28.18 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $120.23 | Professional | None | $30.90 | $44.67 | $120.23 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $31.62 Typical High $43.65 | Facility | None | $15.85 | $31.62 | $43.65 |
Providence Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $35.48 | Professional | None | $15.49 | $22.91 | $35.48 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $35.48 | Facility | None | $25.70 | $25.70 | $35.48 |
United Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $32.36 | Professional | None | $26.30 | $29.51 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 59 · Distinct service Typical Low $21.88 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $21.88 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $17.78 Median $25.12 Typical High $33.88 | Professional | GO · Occupational therapy plan | $17.78 | $25.12 | $33.88 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $17.78 Median $25.12 Typical High $33.11 | Professional | GP · Physical therapy plan | $17.78 | $25.12 | $33.11 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $54.95 Median $95.50 Typical High $147.91 | Facility | GO · Occupational therapy plan | $54.95 | $95.50 | $147.91 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $25.70 Median $87.10 Typical High $151.36 | Facility | GP · Physical therapy plan | $25.70 | $87.10 | $151.36 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $19.05 Median $34.67 Typical High $75.86 | Professional | GP · Physical therapy plan | $19.05 | $34.67 | $75.86 |
Where Texas 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.
Texas· 41st of 51
$26.92
AK $63.10OH $20.89
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.