How much rates vary
Facilitymedian $295 · 10th to 90th $18 to $5,012Professionalmedian $20 · 10th to 90th $18 to $31
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 $20.89 Typical High $1,862.09 | Facility | None | $17.38 | $20.89 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $20.89 | Professional | None | $17.38 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $27.54 | Professional | None | $14.45 | $23.99 | $27.54 |
AmeriHealth Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $19.50 Median $19.95 Typical High $32.36 | Professional | None | $19.50 | $19.95 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $354.81 | Facility | None | $141.25 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $35.48 | Professional | None | $17.78 | $22.39 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $48.98 | Professional | None | $26.30 | $34.67 | $48.98 |
Geisinger Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $38.02 | Professional | None | $19.50 | $21.88 | $38.02 |
Highmark BCBS Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.88 | Professional | None | $19.50 | $21.38 | $21.88 |
Independence Blue Cross Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Martin's Point Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $1,862.09 | Facility | None | $20.89 | $20.89 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $20.89 | Professional | None | $17.38 | $19.05 | $20.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.17 |
Oscar Health Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $52.48 | Professional | None | $23.99 | $36.31 | $52.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Facility | None | $18.20 | $19.95 | $19.95 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | None | $18.20 | $18.20 | $19.95 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $29.51 | Professional | None | $16.22 | $19.05 | $29.51 |
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 $19.50 Median $20.42 Typical High $22.39 | Professional | GP · Physical therapy plan | $19.50 | $20.42 | $22.39 |
Where Pennsylvania 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.
Pennsylvania· 33rd of 51
$19.95
MN $39.81KY $17.38
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.