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 $28.18 Median $28.18 Typical High $54.95 | Facility | None | $28.18 | $28.18 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | None | $37.15 | $38.90 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | None | $36.31 | $36.31 | $39.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $42.66 | Professional | None | $29.51 | $33.11 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $64.57 | Professional | None | $26.92 | $40.74 | $64.57 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $151.36 | Facility | None | $38.02 | $67.61 | $151.36 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None | $213.80 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
United Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $40.74 | Professional | None | $28.84 | $33.88 | $40.74 |
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 AT · Acute treatment Typical Low $29.51 Median $34.67 Typical High $47.86 | Professional | AT · Acute treatment | $29.51 | $34.67 | $47.86 |
Qualchoice Setting Professional Modifier 59 · Distinct service + 96 · Habilitative service + AT · Acute treatment + GP · Physical therapy plan Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service + 96 · Habilitative service + AT · Acute treatment + GP · Physical therapy plan | $64.57 | $64.57 | $64.57 |
Where Missouri sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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.
Missouri· 19th of 51
$39.81
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.