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 $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $74.13 | Professional | None | $64.57 | $67.61 | $74.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $257.04 | Facility | None | $102.33 | $177.83 | $257.04 |
BCBS Louisiana Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
United Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Facility | None | $123.03 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $79.43 | Professional | None | $34.67 | $56.23 | $79.43 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | GO · Occupational therapy plan | $60.26 | $60.26 | $60.26 |
Where Louisiana sits
The same service costs 2.5 times more in Kansas than in Delaware. 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.
Louisiana· 31st of 51
$66.07
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.