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 $20.89 Median $39.81 Typical High $676.08 | Facility | None | $20.89 | $39.81 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None | $20.89 | $21.88 | $21.88 |
AmeriHealth Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | None | $32.36 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | None | $50.12 | $50.12 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $154.88 | Professional | None | $21.38 | $26.30 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $81.28 | Professional | None | $42.66 | $48.98 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $57.54 | Professional | None | $30.90 | $37.15 | $57.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | None | $24.55 | $24.55 | $26.30 |
Independence Blue Cross Setting Facility Modifier None Typical Low $91.20 Median $104.71 Typical High $398.11 | Facility | None | $91.20 | $104.71 | $398.11 |
Independence Blue Cross Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Facility Modifier None Typical Low $20.89 Median $43.65 Typical High $676.08 | Facility | None | $20.89 | $43.65 | $676.08 |
Martin's Point Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None | $20.89 | $21.88 | $21.88 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $107.15 | Professional | None | $32.36 | $57.54 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $70.79 Typical High $120.23 | Facility | None | $27.54 | $70.79 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | None | $27.54 | $27.54 | $30.90 |
United Setting Facility Modifier None Typical Low $32.36 Median $35.48 Typical High $35.48 | Facility | None | $32.36 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $38.02 | Professional | None | $24.55 | $28.84 | $38.02 |
1 more rate 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 $61.66 Median $70.79 Typical High $302.00 | Facility | GO · Occupational therapy plan | $61.66 | $70.79 | $302.00 |
Where Pennsylvania 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.
Pennsylvania· 21st of 51
$32.36
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.