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 $4.07 Median $4.68 Typical High $5.13 | Facility | None | $4.07 | $4.68 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.68 Typical High $6.61 | Professional | None | $4.07 | $4.68 | $6.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.05 Median $44.67 Typical High $89.13 | Facility | None | $19.05 | $44.67 | $89.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $16.60 | Professional | None | $15.14 | $15.85 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.68 Median $17.38 Typical High $19.50 | Facility | None | $4.68 | $17.38 | $19.50 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $9.33 | Professional | None | $4.90 | $6.61 | $9.33 |
Priority Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $6.92 Median $7.08 Typical High $7.59 | Professional | None | $6.92 | $7.08 | $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 Typical Low $9.33 Median $9.33 Typical High $12.59 | Professional | HH · Mental health + substance use | $9.33 | $9.33 | $12.59 |
Where Michigan 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.
Michigan· 12th of 51
$15.85
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.