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 $112.20 Typical High $380.19 | Facility | None | $22.91 | $112.20 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | None | $22.91 | $22.91 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $85.11 | Professional | None | $23.44 | $27.54 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $204.17 | Facility | None | $74.13 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $74.13 | Professional | None | $25.12 | $29.51 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $52.48 Typical High $177.83 | Facility | None | $26.92 | $52.48 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $74.13 | Professional | None | $51.29 | $54.95 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $67.61 | Professional | None | $32.36 | $44.67 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $60.26 | Professional | None | $25.12 | $25.12 | $60.26 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Facility | None | $45.71 | $45.71 | $60.26 |
United Setting Professional Modifier None Typical Low $15.85 Median $34.67 Typical High $53.70 | Professional | None | $15.85 | $34.67 | $53.70 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $53.70 Typical High $100.00 | Facility | None | $25.12 | $53.70 | $100.00 |
Univera Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $63.10 | Professional | None | $26.30 | $44.67 | $63.10 |
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 GO · Occupational therapy plan Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | GO · Occupational therapy plan | $61.66 | $61.66 | $61.66 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 50th of 51
$27.54
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.