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 $77.62 Median $239.88 Typical High $239.88 | Facility | None | $77.62 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $239.88 Typical High $354.81 | Professional | None | $77.62 | $239.88 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $346.74 | Professional | None | $229.09 | $346.74 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $371.54 | Facility | None | $316.23 | $323.59 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None | $281.84 | $281.84 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $1,737.80 | Professional | None | $181.97 | $239.88 | $1,737.80 |
United Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $363.08 | Professional | None | $213.80 | $257.04 | $363.08 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | HH · Mental health + substance use | $371.54 | $371.54 | $371.54 |
Where Kentucky sits
The same service costs 7.6 times more in Illinois than in Texas. 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.
Kentucky· 26th of 51
$347
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.