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 $83.18 Median $95.50 Typical High $114.82 | Facility | None | $83.18 | $95.50 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $112.20 | Professional | None | $83.18 | $95.50 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $109.65 | Professional | None | $75.86 | $81.28 | $109.65 |
BCBS Tennessee Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $109.65 | Professional | None | $91.20 | $93.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $128.82 | Professional | None | $63.10 | $77.62 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
Optum Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | None | $87.10 | $87.10 | $117.49 |
United Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $141.25 | Professional | None | $87.10 | $89.13 | $141.25 |
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 $93.33 Median $100.00 Typical High $112.20 | Professional | AF · Specialist physician | $93.33 | $100.00 | $112.20 |
Ambetter Setting Professional Modifier HG · Opioid treatment program Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | HG · Opioid treatment program | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | HO · Master's level | $75.86 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | HP · Doctoral level | $102.33 | $102.33 | $107.15 |
Where Tennessee 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.
Tennessee· 29th of 51
$93.33
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.