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 $67.61 Median $131.83 Typical High $169.82 | Facility | None | $67.61 | $131.83 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $125.89 | Professional | None | $48.98 | $48.98 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $61.66 | Professional | None | $36.31 | $46.77 | $61.66 |
Aultcare Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aultcare Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $87.10 | Professional | None | $40.74 | $43.65 | $87.10 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $151.36 | Facility | None | $54.95 | $83.18 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $53.70 | Professional | None | $28.84 | $32.36 | $53.70 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $50.12 | Professional | None | $25.70 | $33.88 | $50.12 |
SummaCare Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $61.66 | Professional | None | $39.81 | $48.98 | $61.66 |
United Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $54.95 | Facility | None | $39.81 | $44.67 | $54.95 |
United Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $57.54 | Professional | None | $35.48 | $44.67 | $57.54 |
3 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 Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | 52 · Reduced service | $24.55 | $24.55 | $47.86 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | GO · Occupational therapy plan | $38.02 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | GP · Physical therapy plan | $28.18 | $28.18 | $28.18 |
Where Ohio sits
The same service costs 3.5 times more in Alaska than in Utah. 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.
Ohio· 43rd of 51
$44.67
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.