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 $19.50 Median $19.50 Typical High $21.38 | Facility | None | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | None | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $27.54 | Professional | None | $21.88 | $23.99 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $34.67 | Professional | None | $18.62 | $21.38 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $25.70 | Professional | None | $16.22 | $17.38 | $25.70 |
Hometown Health Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $35.48 | Professional | None | $21.38 | $25.70 | $35.48 |
Hometown Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $4,265.80 | Facility | None | $21.38 | $21.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $24.55 | Professional | None | $12.88 | $19.50 | $24.55 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $28.18 | Professional | None | $15.85 | $20.89 | $28.18 |
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 GO · Occupational therapy plan Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | GO · Occupational therapy plan | $17.38 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | GP · Physical therapy plan | $17.38 | $17.38 | $17.38 |
Where Nevada 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.
Nevada· 39th of 51
$19.50
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.