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 $48.98 Median $74.13 Typical High $123.03 | Facility | None | $48.98 | $74.13 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $57.54 | Professional | None | $43.65 | $48.98 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $72.44 | Facility | None | $37.15 | $66.07 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $53.70 Typical High $66.07 | Professional | None | $31.62 | $53.70 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $331.13 | Professional | None | $41.69 | $63.10 | $331.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $2,137.96 | Facility | None | $97.72 | $165.96 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $125.89 | Professional | None | $58.88 | $69.18 | $125.89 |
United Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $87.10 | Professional | None | $47.86 | $56.23 | $87.10 |
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 $21.88 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $24.55 | $28.18 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | GO · Occupational therapy plan | $52.48 | $52.48 | $52.48 |
Where Indiana sits
The same service costs 3.0 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
$53.70
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.