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 $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $281.84 | Professional | None | $177.83 | $263.03 | $281.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $281.84 | Facility | None | $234.42 | $263.03 | $281.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $316.23 | Professional | None | $245.47 | $269.15 | $316.23 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | HH · Mental health + substance use | $407.38 | $407.38 | $407.38 |
Where North Carolina 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.
North Carolina· 45th of 51
$263
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.