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 $8.13 Median $8.91 Typical High $123.03 | Facility | None | $8.13 | $8.91 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $12.88 | Professional | None | $7.41 | $8.13 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $25.12 | Facility | None | $14.45 | $14.45 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $16.22 | Professional | None | $10.47 | $14.45 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $12.02 | Facility | None | $10.96 | $10.96 | $12.02 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $15.49 | Professional | None | $10.96 | $12.59 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $57.54 | Professional | None | $9.77 | $13.49 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $2,137.96 | Facility | None | $17.38 | $30.20 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $22.91 | Professional | None | $9.77 | $12.02 | $22.91 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $20.42 | Professional | None | $10.00 | $12.30 | $20.42 |
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 GP · Physical therapy plan Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | GP · Physical therapy plan | $8.32 | $9.12 | $9.12 |
Where Indiana sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 32nd of 51
$12.02
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.