How much rates vary
Facilitymedian $72 · 10th to 90th $46 to $234Professionalmedian $41 · 10th to 90th $16 to $74
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 $30.90 Median $87.10 Typical High $407.38 | Facility | None | $30.90 | $87.10 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $41.69 | Professional | None | $23.44 | $30.90 | $41.69 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $128.82 Typical High $251.19 | Facility | None | $51.29 | $128.82 | $251.19 |
BCBS Texas Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | None | $34.67 | $38.90 | $38.90 |
Baylor Scott & White Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $91.20 | Professional | None | $44.67 | $50.12 | $91.20 |
Christus Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
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 Typical Low $22.39 Median $33.11 Typical High $42.66 | Professional | None | $22.39 | $33.11 | $42.66 |
Lucent Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None | $309.03 | $309.03 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $213.80 | Facility | None | $30.20 | $46.77 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $38.90 | Professional | None | $23.44 | $29.51 | $38.90 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $56.23 Typical High $69.18 | Professional | None | $10.72 | $56.23 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $93.33 | Professional | None | $43.65 | $58.88 | $93.33 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $44.67 Typical High $51.29 | Facility | None | $23.44 | $44.67 | $51.29 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $41.69 | Professional | None | $22.39 | $32.36 | $41.69 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $51.29 | Facility | None | $37.15 | $37.15 | $51.29 |
United Setting Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $42.66 | Professional | None | $30.20 | $40.74 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
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 $35.48 Median $35.48 Typical High $46.77 | Professional | GO · Occupational therapy plan | $35.48 | $35.48 | $46.77 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | GP · Physical therapy plan | $35.48 | $35.48 | $46.77 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $56.23 Median $114.82 Typical High $165.96 | Facility | GO · Occupational therapy plan | $56.23 | $114.82 | $165.96 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $38.02 Median $45.71 Typical High $186.21 | Facility | GP · Physical therapy plan | $38.02 | $45.71 | $186.21 |
Where Texas 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.
Texas· 28th of 51
$42.66
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.