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 $3.89 Median $5.62 Typical High $123.03 | Facility | None | $3.89 | $5.62 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $7.76 | Professional | None | $3.80 | $3.89 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $7.94 Typical High $14.13 | Facility | None | $6.92 | $7.94 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $10.00 | Professional | None | $5.13 | $7.41 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $6.17 | Facility | None | $5.62 | $5.62 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $7.94 | Professional | None | $5.62 | $6.46 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $32.36 | Professional | None | $4.57 | $6.61 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.51 Median $16.60 Typical High $2,137.96 | Facility | None | $8.51 | $16.60 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.57 Median $6.03 Typical High $11.22 | Professional | None | $4.57 | $6.03 | $11.22 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $10.47 | Professional | None | $4.79 | $6.03 | $10.47 |
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 $4.57 Median $4.57 Typical High $4.57 | Professional | GO · Occupational therapy plan | $4.57 | $4.57 | $4.57 |
Where Indiana sits
The same service costs 2.6 times more in North Dakota 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· 23rd of 51
$6.76
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.