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 $25.12 Median $32.36 Typical High $50.12 | Facility | None | $25.12 | $32.36 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $39.81 | Professional | None | $21.38 | $25.70 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $46.77 | Facility | None | $24.55 | $25.70 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | None | $21.38 | $25.70 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $35.48 | Facility | None | $33.11 | $33.11 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $45.71 | Professional | None | $33.11 | $38.02 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $169.82 | Professional | None | $24.55 | $36.31 | $169.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $2,137.96 | Facility | None | $50.12 | $83.18 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $64.57 | Professional | None | $29.51 | $36.31 | $64.57 |
United Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $50.12 | Professional | None | $28.18 | $34.67 | $50.12 |
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 GN · Speech therapy plan Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | GN · Speech therapy plan | $26.92 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | GO · Occupational therapy plan | $26.92 | $26.92 | $50.12 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $23.99 Median $26.92 Typical High $37.15 | Professional | GP · Physical therapy plan | $23.99 | $26.92 | $37.15 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 45th of 51
$25.70
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.