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 $44.67 Median $53.70 Typical High $79.43 | Facility | None | $44.67 | $53.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | None | $47.86 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $316.23 | Professional | None | $43.65 | $50.12 | $316.23 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $70.79 Typical High $81.28 | Professional | None | $34.67 | $70.79 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $100.00 | Facility | None | $44.67 | $72.44 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $107.15 | Professional | None | $63.10 | $89.13 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.11 Median $141.25 Typical High $239.88 | Facility | None | $33.11 | $141.25 | $239.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $72.44 | Professional | None | $42.66 | $56.23 | $72.44 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | GO · Occupational therapy plan | $346.74 | $346.74 | $346.74 |
Where Pennsylvania sits
The same service costs 7.8 times more in Alaska than in Indiana. 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· 35th of 51
$47.86
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.