How much rates vary
Facilitymedian $107 · 10th to 90th $30 to $309Professionalmedian $100 · 10th to 90th $76 to $126
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 $95.50 Median $114.82 Typical High $295.12 | Facility | None | $95.50 | $114.82 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $131.83 | Professional | None | $95.50 | $112.20 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $114.82 | Professional | None | $75.86 | $89.13 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $125.89 | Professional | None | $89.13 | $104.71 | $125.89 |
CDPHP Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $177.83 Typical High $269.15 | Facility | None | $61.66 | $177.83 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $131.83 | Professional | None | $64.57 | $79.43 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $36.31 Typical High $251.19 | Facility | None | $0.10 | $36.31 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | None | $67.61 | $67.61 | $89.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $112.20 | Facility | None | $72.44 | $102.33 | $112.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $46.77 Median $93.33 Typical High $120.23 | Professional | None | $46.77 | $93.33 | $120.23 |
Fidelis Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $208.93 Typical High $501.19 | Facility | None | $91.20 | $208.93 | $501.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $112.20 | Professional | None | $87.10 | $93.33 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $1,479.11 | Facility | None | $112.20 | $112.20 | $1,479.11 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $104.71 | Professional | None | $60.26 | $64.57 | $104.71 |
Optum Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $123.03 | Professional | None | $91.20 | $100.00 | $123.03 |
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 $89.13 Median $100.00 Typical High $134.90 | Professional | None | $89.13 | $100.00 | $134.90 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $204.17 | Facility | None | $69.18 | $107.15 | $204.17 |
Univera Setting Professional Modifier None Typical Low $46.77 Median $87.10 Typical High $117.49 | Professional | None | $46.77 | $87.10 | $117.49 |
21 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 $125.89 Median $131.83 Typical High $144.54 | Facility | AF · Specialist physician | $125.89 | $131.83 | $144.54 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $95.50 Median $100.00 Typical High $107.15 | Facility | HO · Master's level | $95.50 | $100.00 | $107.15 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $107.15 Median $112.20 Typical High $123.03 | Facility | TD · Registered nurse | $107.15 | $112.20 | $123.03 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $79.43 Median $120.23 Typical High $131.83 | Professional | AF · Specialist physician | $79.43 | $120.23 | $131.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $95.50 Typical High $104.71 | Professional | HO · Master's level | $60.26 | $95.50 | $104.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $54.95 Median $107.15 Typical High $117.49 | Professional | TD · Registered nurse | $54.95 | $107.15 | $117.49 |
Emblem Health Setting Facility Modifier 59 · Distinct service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 59 · Distinct service | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AF · Specialist physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AF · Specialist physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AG · Primary physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AG · Primary physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HF · Substance use program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HF · Substance use program | $0.10 | $0.10 | $0.10 |
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 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 Facility Modifier SA · Nurse practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | SA · Nurse practitioner | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U1 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U1 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U4 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U4 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U5 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U5 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U6 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U6 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier XP · Separate practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | XP · Separate practitioner | $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 $87.10 Median $87.10 Typical High $87.10 | Professional | 93 · Audio-only telehealth | $87.10 | $87.10 | $87.10 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $69.18 Typical High $138.04 | Professional | 53 · Discontinued | $53.70 | $69.18 | $138.04 |
Where New York sits
The same service costs 1.7 times more in Alaska 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· 21st of 51
$100
AK $132OH $75.86
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.