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 $70.79 Median $93.33 Typical High $131.83 | Facility | None | $70.79 | $93.33 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $107.15 | Professional | None | $61.66 | $70.79 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $112.20 | Facility | None | $58.88 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $95.50 | Professional | None | $50.12 | $77.62 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Facility | None | $93.33 | $93.33 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $131.83 | Professional | None | $93.33 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $467.74 | Professional | None | $66.07 | $95.50 | $467.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $2,137.96 | Facility | None | $138.04 | $234.42 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $181.97 | Professional | None | $83.18 | $100.00 | $181.97 |
United Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $125.89 | Professional | None | $69.18 | $77.62 | $125.89 |
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 $30.90 Median $35.48 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $35.48 | $40.74 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | GP · Physical therapy plan | $75.86 | $75.86 | $117.49 |
Where Indiana sits
The same service costs 3.3 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· 37th of 51
$77.62
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.