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 Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $18.20 | Facility | None | $17.38 | $17.38 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $51.29 | Professional | None | $17.38 | $17.78 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $29.51 Typical High $42.66 | Professional | None | $16.60 | $29.51 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $36.31 | Professional | None | $18.62 | $19.50 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $58.88 | Professional | None | $17.78 | $25.12 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $70.79 | Professional | None | $22.39 | $28.84 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $28.18 | Professional | None | $24.55 | $27.54 | $28.18 |
United Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $43.65 | Professional | None | $19.05 | $25.12 | $43.65 |
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 $8.71 Median $8.71 Typical High $9.33 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.72 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $12.59 Median $17.78 Typical High $17.78 | Professional | GP · Physical therapy plan | $12.59 | $17.78 | $17.78 |
Where Georgia sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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.
Georgia· 37th of 51
$19.95
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.