How much rates vary
Facilitymedian $52 · 10th to 90th $39 to $166Professionalmedian $28 · 10th to 90th $10 to $44
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 $15.85 Median $20.89 Typical High $50.12 | Facility | None | $15.85 | $20.89 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.89 Typical High $33.88 | Professional | None (both parts) | $15.85 | $20.89 | $33.88 |
BCBS Texas Setting Facility Modifier None Typical Low $38.90 Median $95.50 Typical High $186.21 | Facility | None | $38.90 | $95.50 | $186.21 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $25.12 | $28.18 | $28.18 |
Christus Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $23.99 Typical High $35.48 | Professional | None (both parts) | $16.22 | $23.99 | $35.48 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $30.90 | $40.74 | $61.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $213.80 | $213.80 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $31.62 Typical High $47.86 | Facility | None | $15.85 | $31.62 | $47.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.38 Typical High $33.11 | Professional | None (both parts) | $15.85 | $21.38 | $33.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.13 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $5.13 | $28.18 | $34.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $125.89 | Professional | None (both parts) | $31.62 | $34.67 | $125.89 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $31.62 Typical High $42.66 | Facility | None | $15.85 | $31.62 | $42.66 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.22 Median $23.99 Typical High $35.48 | Professional | None (both parts) | $16.22 | $23.99 | $35.48 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $37.15 | Facility | None | $26.92 | $26.92 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $33.88 | Professional | None (both parts) | $25.70 | $30.20 | $33.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
4 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 GO · Occupational therapy plan Typical Low $19.50 Median $22.91 Typical High $26.30 | Professional | GO · Occupational therapy plan | $19.50 | $22.91 | $26.30 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.50 Median $26.30 Typical High $33.11 | Professional | GP · Physical therapy plan | $19.50 | $26.30 | $33.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $81.28 Median $100.00 Typical High $144.54 | Facility | GP · Physical therapy plan | $81.28 | $100.00 | $144.54 |
Where Texas 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.
Texas· 35th of 51
$28.18
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.