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 $19.95 Median $19.95 Typical High $81.28 | Facility | None | $19.95 | $19.95 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | None | $19.95 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $85.11 | Professional | None | $20.89 | $24.55 | $85.11 |
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 $54.95 Median $125.89 Typical High $204.17 | Facility | None | $54.95 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $38.02 Typical High $93.33 | Professional | None | $22.39 | $38.02 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $131.83 | Facility | None | $28.18 | $38.90 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $60.26 | Professional | None | $23.44 | $32.36 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $43.65 | Professional | None | $28.84 | $28.84 | $43.65 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Facility | None | $33.88 | $33.88 | $43.65 |
United Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $38.90 | Professional | None | $20.89 | $25.70 | $38.90 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $39.81 Typical High $114.82 | Facility | None | $18.20 | $39.81 | $114.82 |
Univera Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $45.71 | Professional | None | $19.50 | $32.36 | $45.71 |
5 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 GP · Physical therapy plan Typical Low $19.50 Median $22.91 Typical High $37.15 | Professional | GP · Physical therapy plan | $19.50 | $22.91 | $37.15 |
Fidelis Setting Professional Modifier GP · Physical therapy plan Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | GP · Physical therapy plan | $8.71 | $8.71 | $8.71 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $14.13 Median $30.20 Typical High $87.10 | Facility | GP · Physical therapy plan | $14.13 | $30.20 | $87.10 |
Highmark BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | GP · Physical therapy plan | $28.18 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $21.88 | $25.12 |
Where New York sits
The same service costs 3.2 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
$24.55
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.