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 $25.12 Median $26.92 Typical High $41.69 | Facility | None | $25.12 | $26.92 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $47.86 | Professional | None | $25.12 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $19.05 Typical High $23.99 | Professional | 52 · Reduced service | $12.30 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.59 Typical High $9.55 | Professional | 53 · Discontinued | $5.01 | $7.59 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $53.70 | Professional | None | $39.81 | $45.71 | $53.70 |
AvMed Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $54.95 | Facility | None | $26.30 | $44.67 | $54.95 |
AvMed Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $57.54 | Professional | None | $26.30 | $44.67 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $69.18 | Professional | None | $21.88 | $35.48 | $69.18 |
Florida Blue Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $51.29 | Facility | None | $47.86 | $47.86 | $51.29 |
Florida Blue Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | None | $37.15 | $37.15 | $39.81 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $169.82 | Professional | None | $64.57 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $74.13 | Professional | None | $26.30 | $41.69 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $53.70 Typical High $53.70 | Professional | None | $25.70 | $53.70 | $53.70 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | GP · Physical therapy plan | $42.66 | $42.66 | $42.66 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Indiana. 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.
Florida· 43rd of 51
$38.90
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.