How much rates vary
Facilitymedian $51 · 10th to 90th $32 to $112Professionalmedian $32 · 10th to 90th $28 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 $32.36 Median $53.70 Typical High $70.79 | Facility | None | $32.36 | $53.70 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $33.88 | Professional | None | $27.54 | $33.11 | $33.88 |
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 $30.90 Median $32.36 Typical High $32.36 | Professional | None | $30.90 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $97.72 | Facility | None | $64.57 | $64.57 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $31.62 Typical High $91.20 | Professional | None | $16.60 | $31.62 | $91.20 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $74.13 | Professional | None | $34.67 | $34.67 | $74.13 |
Geisinger Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $77.62 | Professional | None | $29.51 | $47.86 | $77.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $89.13 | Facility | None | $66.07 | $87.10 | $89.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $323.59 | Facility | None | $23.99 | $41.69 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $72.44 | Facility | None | $32.36 | $48.98 | $72.44 |
Martin's Point Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None | $28.18 | $33.11 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $38.02 Median $63.10 Typical High $89.13 | Professional | None | $38.02 | $63.10 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $26.30 Median $57.54 Typical High $100.00 | Facility | None | $26.30 | $57.54 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $46.77 | Professional | None | $26.30 | $31.62 | $46.77 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Facility | None | $45.71 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $54.95 | Professional | None | $28.84 | $41.69 | $54.95 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier GO · Occupational therapy plan Typical Low $72.44 Median $190.55 Typical High $407.38 | Facility | GO · Occupational therapy plan | $72.44 | $190.55 | $407.38 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $26.30 Median $69.18 Typical High $69.18 | Professional | GP · Physical therapy plan | $26.30 | $69.18 | $69.18 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $38.02 Median $85.11 Typical High $194.98 | Facility | GO · Occupational therapy plan | $38.02 | $85.11 | $194.98 |
Highmark BCBS Setting Facility Modifier GP · Physical therapy plan Typical Low $61.66 Median $109.65 Typical High $208.93 | Facility | GP · Physical therapy plan | $61.66 | $109.65 | $208.93 |
Highmark BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $35.48 Median $38.02 Typical High $51.29 | Professional | GO · Occupational therapy plan | $35.48 | $38.02 | $51.29 |
Martin's Point Setting Facility Modifier GO · Occupational therapy plan Typical Low $72.44 Median $190.55 Typical High $398.11 | Facility | GO · Occupational therapy plan | $72.44 | $190.55 | $398.11 |
Where Pennsylvania 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.
Pennsylvania· 45th of 51
$32.36
AK $91.20VA $25.70
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.