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 $72.44 Median $97.72 Typical High $134.90 | Facility | None | $72.44 | $97.72 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | None | $63.10 | $70.79 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $109.65 | Facility | None | $57.54 | $83.18 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $97.72 | Professional | None | $47.86 | $77.62 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | None | $95.50 | $109.65 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $489.78 | Professional | None | $63.10 | $93.33 | $489.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $2,137.96 | Facility | None | $141.25 | $239.88 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $181.97 | Professional | None | $85.11 | $102.33 | $181.97 |
United Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | None | $69.18 | $81.28 | $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 $31.62 Median $35.48 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $35.48 | $40.74 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $77.62 Median $77.62 Typical High $144.54 | Professional | GO · Occupational therapy plan | $77.62 | $77.62 | $144.54 |
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· 40th 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.