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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | None | $16.98 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.91 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $407.38 Typical High $549.54 | Facility | None | $18.62 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $21.38 | Professional | None | $15.85 | $18.62 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $32.36 | Professional | None | $18.20 | $21.88 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $53.70 Median $912.01 Typical High $2,187.76 | Facility | None | $53.70 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $33.11 | Professional | None | $19.50 | $25.70 | $33.11 |
United Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $26.30 | Professional | None | $16.60 | $19.50 | $26.30 |
1 more rate 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 GP · Physical therapy plan Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | GP · Physical therapy plan | $15.85 | $15.85 | $15.85 |
Where Indiana sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 47th of 51
$18.62
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.