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 $24.55 Median $223.87 Typical High $389.05 | Facility | None | $24.55 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | None | $19.95 | $19.95 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $85.11 | Professional | None | $20.89 | $24.55 | $85.11 |
CDPHP Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $204.17 | Facility | None | $66.07 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $40.74 Typical High $117.49 | Professional | None | $20.89 | $40.74 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $45.71 Typical High $158.49 | Facility | None | $26.92 | $45.71 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $66.07 | Professional | None | $44.67 | $47.86 | $66.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $67.61 | Professional | None | $28.18 | $38.90 | $67.61 |
MVP Health Care Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $52.48 | Facility | None | $40.74 | $40.74 | $52.48 |
United Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $45.71 | Professional | None | $15.85 | $29.51 | $45.71 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $47.86 Typical High $97.72 | Facility | None | $22.39 | $47.86 | $97.72 |
Univera Setting Professional Modifier None Typical Low $23.44 Median $38.90 Typical High $52.48 | Professional | None | $23.44 | $38.90 | $52.48 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | GO · Occupational therapy plan | $138.04 | $138.04 | $138.04 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Ohio. 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· 47th of 51
$24.55
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.