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 $50.12 Median $66.07 Typical High $85.11 | Facility | None | $50.12 | $66.07 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $70.79 | Professional | None | $50.12 | $56.23 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $83.18 | Professional | None | $51.29 | $69.18 | $83.18 |
BCBS Tennessee Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | None | $61.66 | $64.57 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $81.28 | Professional | None | $39.81 | $52.48 | $81.28 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $707.95 | Professional | None | $489.78 | $489.78 | $707.95 |
Optum Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
United Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $89.13 | Professional | None | $53.70 | $54.95 | $89.13 |
4 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 AF · Specialist physician Typical Low $48.98 Median $56.23 Typical High $66.07 | Professional | AF · Specialist physician | $48.98 | $56.23 | $66.07 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier HG · Opioid treatment program Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | HG · Opioid treatment program | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $46.77 Median $63.10 Typical High $69.18 | Professional | HO · Master's level | $46.77 | $63.10 | $69.18 |
Where Tennessee sits
The same service costs 1.9 times more in North Dakota 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.
Tennessee· 31st of 51
$61.66
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.