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 $22.91 Median $45.71 Typical High $114.82 | Facility | None | $22.91 | $45.71 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $56.23 | Professional | None | $19.95 | $19.95 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $26.92 | Professional | None | $15.14 | $19.95 | $26.92 |
Aultcare Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aultcare Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $42.66 | Professional | None | $31.62 | $33.11 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $52.48 | Professional | None | $27.54 | $28.84 | $52.48 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $41.69 Median $81.28 Typical High $158.49 | Facility | None | $41.69 | $81.28 | $158.49 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $38.90 | Professional | None | $14.79 | $20.42 | $38.90 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $48.98 | Professional | None | $23.44 | $31.62 | $48.98 |
SummaCare Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $39.81 | Professional | None | $27.54 | $33.88 | $39.81 |
United Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $37.15 | Facility | None | $26.92 | $30.20 | $37.15 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $37.15 | Professional | None | $22.39 | $28.84 | $37.15 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | GP · Physical therapy plan | $25.70 | $25.70 | $25.70 |
Where Ohio 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.
Ohio· 51st of 51
$20.42
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.