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 $53.70 Median $56.23 Typical High $91.20 | Facility | None | $53.70 | $56.23 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $45.71 Typical High $46.77 | Professional | None | $15.14 | $45.71 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $104.71 | Professional | None | $48.98 | $51.29 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | None | $87.10 | $102.33 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $100.00 | Facility | None | $45.71 | $64.57 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $83.18 | Professional | None | $26.30 | $46.77 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $95.50 | Facility | None | $53.70 | $87.10 | $95.50 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $100.00 | Facility | None | $44.67 | $74.13 | $100.00 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $109.65 | Professional | None | $45.71 | $64.57 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $190.55 | Facility | None | $85.11 | $120.23 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $95.50 | Professional | None | $89.13 | $91.20 | $95.50 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $74.13 | Facility | None | $51.29 | $51.29 | $74.13 |
United Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $107.15 | Professional | None | $38.90 | $50.12 | $107.15 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $51.29 Median $102.33 Typical High $177.83 | Facility | GO · Occupational therapy plan | $51.29 | $102.33 | $177.83 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $30.90 Median $69.18 Typical High $141.25 | Professional | GO · Occupational therapy plan | $30.90 | $69.18 | $141.25 |
Where Oregon 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.
Oregon· 14th of 51
$53.70
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.