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 $69.18 Median $69.18 Typical High $107.15 | Facility | None | $69.18 | $69.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $107.15 | Professional | None | $63.10 | $83.18 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None | $91.20 | $91.20 | $120.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
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 $173.78 | Facility | None | $123.03 | $144.54 | $173.78 |
United Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $75.86 | Professional | None | $39.81 | $56.23 | $75.86 |
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 Mississippi 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.
Mississippi· 24th of 51
$70.79
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.