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 $31.62 Median $31.62 Typical High $37.15 | Facility | None | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $39.81 | Professional | None | $25.70 | $32.36 | $39.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $70.79 | Facility | None | $24.55 | $50.12 | $70.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $275.42 | Professional | None | $33.11 | $34.67 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $79.43 | Professional | None | $30.20 | $43.65 | $79.43 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $40.74 Typical High $75.86 | Professional | None | $21.38 | $40.74 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $66.07 | Facility | None | $41.69 | $64.57 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $91.20 | Facility | None | $40.74 | $66.07 | $91.20 |
Premera BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $45.71 Median $52.48 Typical High $70.79 | Facility | None | $45.71 | $52.48 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $83.18 | Professional | None | $29.51 | $34.67 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $70.79 | Professional | None | $33.11 | $37.15 | $70.79 |
3 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 GN · Speech therapy plan Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | GN · Speech therapy plan | $26.92 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | GO · Occupational therapy plan | $26.92 | $26.92 | $33.11 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $29.51 Typical High $53.70 | Professional | GP · Physical therapy plan | $23.99 | $29.51 | $53.70 |
Where Washington 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.
Washington· 21st of 51
$33.11
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.