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 $10.00 Median $12.30 Typical High $16.60 | Facility | None | $10.00 | $12.30 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $14.45 | Professional | None | $9.77 | $12.02 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $20.89 | Professional | None | $10.00 | $10.47 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $9.12 | Facility | None | $4.79 | $4.79 | $9.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $10.72 Typical High $14.45 | Professional | None | $3.80 | $10.72 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $12.02 Typical High $13.49 | Facility | None | $11.75 | $12.02 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $21.88 | Professional | None | $11.48 | $14.45 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $15.14 | Professional | None | $2.82 | $4.27 | $15.14 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $2,187.76 | Facility | None | $35.48 | $43.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $23.44 | Professional | None | $10.00 | $14.13 | $23.44 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.45 | Professional | None | $10.72 | $10.72 | $14.45 |
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 HE · Mental health program Typical Low $8.71 Median $10.00 Typical High $14.45 | Professional | HE · Mental health program | $8.71 | $10.00 | $14.45 |
Ambetter Setting Professional Modifier HH · Mental health + substance use Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | HH · Mental health + substance use | $13.49 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HO · Master's level | $10.00 | $10.00 | $10.00 |
Where Indiana sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 41st of 51
$10.96
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.