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 $47.86 Median $47.86 Typical High $70.79 | Facility | None | $47.86 | $47.86 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | None | $28.18 | $47.86 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $100.00 | Facility | None | $34.67 | $70.79 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $389.05 | Professional | None | $50.12 | $50.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | None | $41.69 | $41.69 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $109.65 | Professional | None | $36.31 | $51.29 | $109.65 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $81.28 Typical High $154.88 | Professional | None | $30.90 | $81.28 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $97.72 | Facility | None | $52.48 | $77.62 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $93.33 Typical High $131.83 | Facility | None | $60.26 | $93.33 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $100.00 | Facility | None | $61.66 | $70.79 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | None | $50.12 | $50.12 | $91.20 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $120.23 | Professional | None | $38.02 | $50.12 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $102.33 | Professional | None | $47.86 | $53.70 | $102.33 |
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 $66.07 Median $89.13 Typical High $91.20 | Professional | GO · Occupational therapy plan | $66.07 | $89.13 | $91.20 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | GP · Physical therapy plan | $42.66 | $42.66 | $42.66 |
Where Washington 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.
Washington· 16th of 51
$50.12
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.