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 $245.47 Median $954.99 Typical High $1,778.28 | Facility | None | $245.47 | $954.99 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $562.34 | Professional | None | $245.47 | $309.03 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $380.19 | Professional | None | $169.82 | $204.17 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,479.11 Typical High $1,778.28 | Facility | None | $489.78 | $1,479.11 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $2,238.72 | Facility | None | $407.38 | $891.25 | $2,238.72 |
Emblem Health Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $489.78 | Professional | None | $199.53 | $398.11 | $489.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $338.84 | Professional | None | $229.09 | $309.03 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $398.11 | Facility | None | $338.84 | $338.84 | $398.11 |
United Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $416.87 | Professional | None | $251.19 | $354.81 | $416.87 |
Univera Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Univera Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $416.87 | Professional | None | $229.09 | $338.84 | $416.87 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier HH · Mental health + substance use Typical Low $331.13 Median $741.31 Typical High $1,862.09 | Professional | HH · Mental health + substance use | $331.13 | $741.31 | $1,862.09 |
Where New York 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.
New York· 29th of 51
$339
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.