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 $194.98 Median $269.15 Typical High $338.84 | Facility | None | $194.98 | $269.15 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $223.87 | Professional | None | $147.91 | $194.98 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $426.58 | Facility | None | $173.78 | $173.78 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Facility | None | $213.80 | $213.80 | $234.42 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $302.00 | Professional | None | $213.80 | $245.47 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $1,096.48 | Professional | None | $199.53 | $245.47 | $1,096.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $2,187.76 | Facility | None | $331.13 | $676.08 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $416.87 | Professional | None | $190.55 | $229.09 | $416.87 |
United Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Professional | None | $158.49 | $199.53 | $331.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | GN · Speech therapy plan | $173.78 | $173.78 | $173.78 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Florida. 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.
Indiana· 44th of 51
$186
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.