How much rates vary
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | None | $138.04 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
BCBS Arkansas Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $338.84 | Professional | None | $257.04 | $281.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $245.47 | Facility | None | $173.78 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $173.78 | Professional | None | $95.50 | $128.82 | $173.78 |
Qualchoice Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $363.08 | Facility | None | $309.03 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $204.17 | Professional | None | $102.33 | $138.04 | $204.17 |
2 more rates 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 $239.88 Median $245.47 Typical High $245.47 | Professional | GO · Occupational therapy plan | $239.88 | $245.47 | $245.47 |
Qualchoice Setting Professional Modifier GO · Occupational therapy plan Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | GO · Occupational therapy plan | $281.84 | $281.84 | $281.84 |
Where Arkansas sits
The same service costs 2.3 times more in Montana 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.
Arkansas· 10th of 51
$257
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.