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 $269.15 Median $281.84 Typical High $812.83 | Facility | None | $269.15 | $281.84 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $380.19 | Professional | None | $158.49 | $263.03 | $380.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $660.69 | Professional | None | $354.81 | $354.81 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $851.14 | Facility | None | $151.36 | $323.59 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $501.19 | Professional | None | $151.36 | $275.42 | $501.19 |
Geisinger Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $398.11 | Professional | None | $251.19 | $331.13 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,230.27 | Facility | None | $1,023.29 | $1,023.29 | $1,230.27 |
Independence Blue Cross Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,897.79 | Facility | None | $707.95 | $2,290.87 | $4,897.79 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $776.25 | Facility | None | $281.84 | $281.84 | $776.25 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $398.11 | Professional | None | $151.36 | $263.03 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,202.26 | Facility | None | $588.84 | $741.31 | $1,202.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $354.81 | Facility | None | $331.13 | $331.13 | $354.81 |
United Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $660.69 | Professional | None | $229.09 | $288.40 | $660.69 |
2 more rates 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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | HH · Mental health + substance use | $1,949.84 | $1,949.84 | $1,949.84 |
Highmark BCBS Setting Professional Modifier HH · Mental health + substance use Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | HH · Mental health + substance use | $281.84 | $281.84 | $457.09 |
Where Pennsylvania 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.
Pennsylvania· 39th of 51
$302
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.