How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $75.86 | Professional | None | $46.77 | $75.86 | $75.86 |
AmeriHealth Setting Facility Modifier None Typical Low $436.52 Median $1,047.13 Typical High $1,584.89 | Facility | None | $436.52 | $1,047.13 | $1,584.89 |
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 $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Independence Blue Cross Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $537.03 | Facility | None | $169.82 | $169.82 | $537.03 |
Martin's Point Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $75.86 | Professional | None | $46.77 | $75.86 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $158.49 | Professional | None | $63.10 | $89.13 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.68 Median $7.76 Typical High $12.59 | Facility | None | $4.68 | $7.76 | $12.59 |
United Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $67.61 | Professional | None | $39.81 | $60.26 | $67.61 |
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 Professional Modifier GP · Physical therapy plan Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | GP · Physical therapy plan | $39.81 | $39.81 | $39.81 |
Where Pennsylvania sits
The same service costs 371535.2 times more in Virginia than in Louisiana. 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· 4th of 50
$229
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.