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 $19.95 Median $26.30 Typical High $38.02 | Facility | None | $19.95 | $26.30 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $30.20 | Professional | None | $16.98 | $19.05 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $42.66 | Facility | None | $21.88 | $27.54 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $33.11 | Professional | None | $18.62 | $23.99 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $28.18 | Facility | None | $25.70 | $25.70 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $36.31 | Professional | None | $25.70 | $30.20 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $134.90 | Professional | None | $21.38 | $26.30 | $134.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $39.81 Median $77.62 Typical High $2,089.30 | Facility | None | $39.81 | $77.62 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $50.12 | Professional | None | $22.91 | $28.18 | $50.12 |
United Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $38.90 | Professional | None | $23.44 | $25.70 | $38.90 |
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 $21.38 Median $21.38 Typical High $39.81 | Professional | GO · Occupational therapy plan | $21.38 | $21.38 | $39.81 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $19.05 Median $21.38 Typical High $29.51 | Professional | GP · Physical therapy plan | $19.05 | $21.38 | $29.51 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | XS · Separate structure | $21.38 | $21.38 | $21.38 |
Where Indiana sits
The same service costs 3.0 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· 36th 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.