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 $223.87 Median $263.03 Typical High $380.19 | Facility | None | $223.87 | $263.03 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $331.13 | Professional | None | $223.87 | $263.03 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $891.25 | Professional | None | $239.88 | $338.84 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $371.54 | Professional | None | $234.42 | $234.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $1,659.59 | Facility | None | $275.42 | $630.96 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $446.68 | Professional | None | $257.04 | $295.12 | $446.68 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $512.86 | Professional | None | $213.80 | $275.42 | $512.86 |
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 $239.88 Median $251.19 Typical High $251.19 | Professional | HH · Mental health + substance use | $239.88 | $251.19 | $251.19 |
Where Missouri 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.
Missouri· 31st of 51
$324
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.