How much rates vary
Facilitymedian $138 · 10th to 90th $0 to $389Professionalmedian $151 · 10th to 90th $107 to $200
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 $114.82 Median $141.25 Typical High $181.97 | Facility | None | $114.82 | $141.25 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | None | $114.82 | $141.25 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $134.90 | Professional | None | $97.72 | $117.49 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $199.53 | Professional | None | $141.25 | $162.18 | $199.53 |
CDPHP Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None | $181.97 | $181.97 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $309.03 Typical High $562.34 | Facility | None | $97.72 | $309.03 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $263.03 | Professional | None | $104.71 | $223.87 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $104.71 Typical High $316.23 | Facility | None | $0.10 | $104.71 | $316.23 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | None | $67.61 | $67.61 | $104.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $165.96 | Professional | None | $66.07 | $134.90 | $165.96 |
Fidelis Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $478.63 | Facility | None | $269.15 | $407.38 | $478.63 |
Highmark BCBS Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | None | $123.03 | $131.83 | $151.36 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $120.23 | Professional | None | $60.26 | $91.20 | $120.23 |
Optum Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $154.88 | Professional | None | $107.15 | $117.49 | $154.88 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $512.86 | Facility | None | $354.81 | $416.87 | $512.86 |
United Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $165.96 | Professional | None | $107.15 | $117.49 | $165.96 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $269.15 | Facility | None | $87.10 | $141.25 | $269.15 |
Univera Setting Professional Modifier None Typical Low $66.07 Median $125.89 Typical High $165.96 | Professional | None | $66.07 | $125.89 | $165.96 |
11 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 Facility Modifier AF · Specialist physician Typical Low $151.36 Median $165.96 Typical High $181.97 | Facility | AF · Specialist physician | $151.36 | $165.96 | $181.97 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $114.82 Median $125.89 Typical High $138.04 | Facility | HO · Master's level | $114.82 | $125.89 | $138.04 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $128.82 Median $141.25 Typical High $154.88 | Facility | TD · Registered nurse | $128.82 | $141.25 | $154.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $131.83 Median $165.96 Typical High $177.83 | Professional | AF · Specialist physician | $131.83 | $165.96 | $177.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $89.13 Median $125.89 Typical High $131.83 | Professional | HO · Master's level | $89.13 | $125.89 | $131.83 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $89.13 Median $141.25 Typical High $151.36 | Professional | TD · Registered nurse | $89.13 | $141.25 | $151.36 |
Emblem Health Setting Facility Modifier HG · Opioid treatment program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HG · Opioid treatment program | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HK · High-risk mental health Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HK · High-risk mental health | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HO · Master's level Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HO · Master's level | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | HG · Opioid treatment program | $64.57 | $67.61 | $67.61 |
Highmark BCBS Setting Professional Modifier 93 · Audio-only telehealth Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | 93 · Audio-only telehealth | $123.03 | $131.83 | $131.83 |
Where New York sits
The same service costs 1.7 times more in North Dakota 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.
New York· 13th of 51
$151
ND $186OH $107
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.