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 $19.05 Median $218.78 Typical High $389.05 | Facility | None | $19.05 | $218.78 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $25.70 | Professional | None | $19.05 | $22.39 | $25.70 |
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 $52.48 Median $125.89 Typical High $204.17 | Facility | None | $52.48 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $33.11 Typical High $91.20 | Professional | None | $20.42 | $33.11 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $40.74 Typical High $123.03 | Facility | None | $34.67 | $40.74 | $123.03 |
Emblem Health Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $54.95 | Professional | None | $36.31 | $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 $30.90 Typical High $57.54 | Professional | None | $22.39 | $30.90 | $57.54 |
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 $40.74 | Professional | None | $24.55 | $24.55 | $40.74 |
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 $22.91 Typical High $36.31 | Professional | None | $15.85 | $22.91 | $36.31 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $38.02 Typical High $104.71 | Facility | None | $17.38 | $38.02 | $104.71 |
Univera Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $42.66 | Professional | None | $18.62 | $30.90 | $42.66 |
2 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $26.30 Median $54.95 Typical High $74.13 | Facility | GO · Occupational therapy plan | $26.30 | $54.95 | $74.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $16.60 | $20.42 | $23.44 |
Where New York sits
The same service costs 3.3 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· 46th of 51
$22.39
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.