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 $295.12 Typical High $3,162.28 | Facility | None | $245.47 | $295.12 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $1,380.38 | Professional | None | $245.47 | $245.47 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $2,570.40 | Facility | None | $457.09 | $691.83 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Aultcare Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $323.59 | Professional | None | $295.12 | $309.03 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $467.74 | Facility | None | $199.53 | $251.19 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $338.84 | Professional | None | $234.42 | $234.42 | $338.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $467.74 | Facility | None | $199.53 | $281.84 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | None | $245.47 | $245.47 | $269.15 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | None | $213.80 | $288.40 | $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 + HN · Bachelor's level Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | HH · Mental health + substance use + HN · Bachelor's level | $257.04 | $257.04 | $257.04 |
Where Ohio 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.
Ohio· 47th of 51
$257
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.