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 $128.82 Median $154.88 Typical High $1,412.54 | Facility | None | $128.82 | $154.88 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $173.78 | Professional | None | $117.49 | $131.83 | $173.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $229.09 | Professional | None | $158.49 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $263.03 | Professional | None | $114.82 | $151.36 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Facility | None | $66.07 | $66.07 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | None | $66.07 | $66.07 | $95.50 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $323.59 | Professional | None | $123.03 | $165.96 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $1,862.09 | Facility | None | $128.82 | $173.78 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $173.78 | Professional | None | $117.49 | $131.83 | $173.78 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $316.23 | Professional | None | $190.55 | $199.53 | $316.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $165.96 | Facility | None | $120.23 | $138.04 | $165.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $165.96 | Professional | None | $120.23 | $154.88 | $165.96 |
United Setting Facility Modifier None Typical Low $245.47 Median $524.81 Typical High $602.56 | Facility | None | $245.47 | $524.81 | $602.56 |
United Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $281.84 | Professional | None | $114.82 | $154.88 | $281.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | HG · Opioid treatment program | $70.79 | $70.79 | $70.79 |
Where Pennsylvania sits
The same service costs 2.4 times more in Alaska 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.
Pennsylvania· 25th of 51
$158
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.