How much rates vary
Facilitymedian $49 · 10th to 90th $23 to $102Professionalmedian $23 · 10th to 90th $22 to $40
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 $21.88 Median $39.81 Typical High $51.29 | Facility | None | $21.88 | $39.81 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $24.55 | Professional | None | $21.88 | $22.91 | $24.55 |
AmeriHealth Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $36.31 Median $37.15 Typical High $61.66 | Professional | None | $36.31 | $37.15 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $83.18 | Facility | None | $56.23 | $56.23 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $162.18 | Professional | None | $22.91 | $27.54 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None | $44.67 | $44.67 | $45.71 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $66.07 | Professional | None | $28.84 | $36.31 | $66.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $81.28 | Facility | None | $58.88 | $64.57 | $81.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | None | $25.70 | $25.70 | $27.54 |
Independence Blue Cross Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Independence Blue Cross Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | None | $19.95 | $19.95 | $25.12 |
Martin's Point Setting Facility Modifier None Typical Low $21.88 Median $48.98 Typical High $51.29 | Facility | None | $21.88 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | None | $21.88 | $22.91 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $141.25 | Professional | None | $33.11 | $61.66 | $141.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.70 Median $54.95 Typical High $95.50 | Facility | None | $25.70 | $54.95 | $95.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | None | $25.70 | $25.70 | $33.11 |
United Setting Facility Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Facility | None | $33.88 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $40.74 | Professional | None | $26.92 | $30.90 | $40.74 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | GP · Physical therapy plan | $25.70 | $30.90 | $30.90 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $61.66 Median $91.20 Typical High $141.25 | Facility | GP · Physical therapy plan | $61.66 | $91.20 | $141.25 |
Where Pennsylvania 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.
Pennsylvania· 48th of 51
$22.91
AK $66.07OH $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.