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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
BCBS Texas Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $331.13 | Facility | None | $23.44 | $30.20 | $331.13 |
BCBS Texas Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Christus Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $151.36 | Facility | None | $120.23 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $120.23 | Professional | None | $26.92 | $26.92 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $23.44 | Facility | None | $7.94 | $7.94 | $23.44 |
Moda Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $107.15 | Professional | None | $23.44 | $23.44 | $107.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $23.44 Typical High $125.89 | Facility | None | $7.94 | $23.44 | $125.89 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $125.89 | Professional | None | $26.92 | $26.92 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
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 GO · Occupational therapy plan Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | GO · Occupational therapy plan | $23.99 | $23.99 | $23.99 |
Where Texas sits
The same service costs 29.5 times more in Mississippi than in Arkansas. 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.
Texas· 5th of 50
$120
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.