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 $6,606.93 Median $6,606.93 Typical High $32,359.37 | Facility | None | $6,606.93 | $6,606.93 | $32,359.37 |
Aetna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $32,359.37 | Professional | None | $6,606.93 | $6,606.93 | $32,359.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $12,302.69 Typical High $21,877.62 | Facility | None | $8,317.64 | $12,302.69 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | None | $13,182.57 | $13,182.57 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $10,715.19 | Facility | None | $2,290.87 | $2,290.87 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $7,943.28 Typical High $7,943.28 | Professional | None | $3,235.94 | $7,943.28 | $7,943.28 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,290.87 Median $4,786.30 Typical High $12,882.50 | Facility | None | $2,290.87 | $4,786.30 | $12,882.50 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3,235.94 Median $7,943.28 Typical High $15,135.61 | Professional | None | $3,235.94 | $7,943.28 | $15,135.61 |
Molina Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,137.96 | $2,398.83 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,162.28 | $4,677.35 |
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | HH · Mental health + substance use | $3,388.44 | $3,388.44 | $3,388.44 |
Where Ohio sits
The same service costs 6.9 times more in Oklahoma than in Nebraska. 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· 12th of 51
$13,183
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.