How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $42.66 Median $50.12 Typical High $123.03 | Facility | None | $42.66 | $50.12 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $56.23 | Professional | None | $46.77 | $50.12 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $89.13 | Facility | None | $45.71 | $60.26 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $50.12 | Professional | None | $38.90 | $45.71 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $239.88 | Professional | None | $38.90 | $51.29 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $70.79 Median $117.49 Typical High $2,137.96 | Facility | None | $70.79 | $117.49 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $93.33 | Professional | None | $42.66 | $50.12 | $93.33 |
United Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | None | $39.81 | $47.86 | $72.44 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $25.12 Typical High $27.54 | Professional | 52 · Reduced service | $23.99 | $25.12 | $27.54 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | GO · Occupational therapy plan | $38.02 | $38.02 | $70.79 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | GP · Physical therapy plan | $38.02 | $38.02 | $38.02 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$45.71
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.