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 $32.36 Median $32.36 Typical High $38.02 | Facility | None | $32.36 | $32.36 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $40.74 | Professional | None | $26.92 | $32.36 | $40.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $70.79 | Facility | None | $25.12 | $51.29 | $70.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $281.84 | Professional | None | $33.88 | $36.31 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | None | $33.88 | $33.88 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $83.18 | Professional | None | $30.90 | $42.66 | $83.18 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $40.74 Typical High $75.86 | Professional | None | $22.39 | $40.74 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $67.61 | Facility | None | $33.11 | $63.10 | $67.61 |
Premera BCBS Setting Facility Modifier None Typical Low $42.66 Median $67.61 Typical High $93.33 | Facility | None | $42.66 | $67.61 | $93.33 |
Premera BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $70.79 | Facility | None | $47.86 | $51.29 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | None | $33.88 | $33.88 | $64.57 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $85.11 | Professional | None | $30.90 | $35.48 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $74.13 | Professional | None | $34.67 | $38.90 | $74.13 |
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 GO · Occupational therapy plan Typical Low $34.67 Median $54.95 Typical High $69.18 | Professional | GO · Occupational therapy plan | $34.67 | $54.95 | $69.18 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $30.90 Median $33.11 Typical High $66.07 | Professional | GP · Physical therapy plan | $30.90 | $33.11 | $66.07 |
Where Washington 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.
Washington· 18th of 51
$34.67
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.