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 $23.44 Median $31.62 Typical High $46.77 | Facility | None | $23.44 | $31.62 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $36.31 | Professional | None | $19.95 | $22.91 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $28.18 Typical High $46.77 | Facility | None | $25.70 | $28.18 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $30.20 | Professional | None | $21.88 | $25.70 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $33.11 | Facility | None | $30.20 | $30.20 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $42.66 | Professional | None | $30.20 | $35.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $154.88 | Professional | None | $24.55 | $30.90 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $2,137.96 | Facility | None | $46.77 | $77.62 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | None | $27.54 | $32.36 | $58.88 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $47.86 | Professional | None | $28.18 | $30.90 | $47.86 |
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 59 · Distinct service Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $22.39 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $24.55 Median $24.55 Typical High $38.90 | Professional | GO · Occupational therapy plan | $24.55 | $24.55 | $38.90 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | GP · Physical therapy plan | $22.39 | $24.55 | $24.55 |
Where Indiana sits
The same service costs 3.0 times more in Alaska 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· 44th 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.