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 $257.04 Median $316.23 Typical High $1,202.26 | Facility | None | $257.04 | $316.23 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $912.01 | Professional | None | $257.04 | $257.04 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $4,073.80 | Facility | None | $724.44 | $1,096.48 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Aultcare Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $501.19 | Professional | None | $446.68 | $467.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $741.31 | Facility | None | $199.53 | $338.84 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $446.68 | Professional | None | $245.47 | $245.47 | $446.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $199.53 Median $501.19 Typical High $1,047.13 | Facility | None | $199.53 | $501.19 | $1,047.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $416.87 | Professional | None | $354.81 | $398.11 | $416.87 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | None | $288.40 | $288.40 | $316.23 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | None | $338.84 | $436.52 | $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 $407.38 Median $407.38 Typical High $512.86 | Professional | HH · Mental health + substance use | $407.38 | $407.38 | $512.86 |
Where Ohio sits
The same service costs 6.6 times more in Minnesota than in North Carolina. 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· 40th of 51
$398
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.