How much rates vary
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 $5.13 Median $6.17 Typical High $7.76 | Facility | None | $5.13 | $6.17 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $5.25 Typical High $5.37 | Professional | None | $3.98 | $5.25 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $13.80 | Facility | None | $7.41 | $9.33 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $16.22 | Professional | None | $9.33 | $10.23 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $63.10 | Facility | None | $57.54 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $9.55 | Professional | None | $6.31 | $7.08 | $9.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $21.88 Median $954.99 Typical High $2,290.87 | Facility | None | $21.88 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $7.59 | Professional | None | $4.37 | $6.61 | $7.59 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HH · Mental health + substance use + HN · Bachelor's level Typical Low $4.90 Median $7.24 Typical High $7.24 | Professional | HH · Mental health + substance use + HN · Bachelor's level | $4.90 | $7.24 | $7.24 |
Where Indiana sits
The same service costs 12.9 times more in Texas than in North Carolina. 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.
Indiana· 26th of 51
$9.33
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.