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 $20.89 Median $26.30 Typical High $41.69 | Facility | None | $20.89 | $26.30 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $38.02 | Professional | None | $18.20 | $20.89 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $45.71 | Facility | None | $23.44 | $29.51 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $28.18 | Professional | None | $19.95 | $23.99 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $30.20 | Facility | None | $27.54 | $27.54 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $38.90 | Professional | None | $27.54 | $31.62 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $74.13 | Facility | None | $72.44 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $141.25 | Professional | None | $22.91 | $28.84 | $141.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $42.66 Median $81.28 Typical High $2,089.30 | Facility | None | $42.66 | $81.28 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $52.48 | Professional | None | $24.55 | $29.51 | $52.48 |
United Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $42.66 | Professional | None | $25.12 | $28.18 | $42.66 |
3 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 $22.39 Median $22.39 Typical High $30.90 | Professional | GO · Occupational therapy plan | $22.39 | $22.39 | $30.90 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.95 Median $22.39 Typical High $34.67 | Professional | GP · Physical therapy plan | $19.95 | $22.39 | $34.67 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | XS · Separate structure | $22.39 | $22.39 | $22.39 |
Where Indiana sits
The same service costs 3.5 times more in Minnesota than in Ohio. 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· 41st of 51
$23.99
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.