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 $4.79 Median $13.18 Typical High $30.20 | Facility | None | $4.79 | $13.18 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $23.99 | Professional | None | $4.79 | $4.79 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $14.13 Typical High $52.48 | Facility | None | $9.33 | $14.13 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $6.31 Typical High $12.59 | Facility | None | $3.98 | $6.31 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $3.98 Median $19.95 Typical High $33.88 | Facility | None | $3.98 | $19.95 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.24 Median $8.32 Typical High $8.32 | Professional | None | $7.24 | $8.32 | $8.32 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.62 | Professional | None | $5.01 | $5.01 | $5.62 |
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 $6.03 Median $7.76 Typical High $9.33 | Professional | None | $6.03 | $7.76 | $9.33 |
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 $9.33 | Professional | HH · Mental health + substance use | $9.33 | $9.33 | $9.33 |
Where Ohio 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.
Ohio· 33rd of 51
$8.32
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.