How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
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 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,202.26 Typical High $2,511.89 | Facility | None | $501.19 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,202.26 Typical High $1,202.26 | Professional | None | $501.19 | $1,202.26 | $1,202.26 |
Geisinger Setting Professional Modifier None Typical Low $251.19 Median $6,456.54 Typical High $7,762.47 | Professional | None | $251.19 | $6,456.54 | $7,762.47 |
Martin's Point Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Martin's Point Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $16,982.44 | Professional | None | $5,128.61 | $5,128.61 | $16,982.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,090.30 | $4,073.80 | $4,073.80 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,570.88 | Facility | None | $4,265.80 | $4,265.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $11,748.98 Typical High $16,982.44 | Professional | None | $3,801.89 | $11,748.98 | $16,982.44 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier HH · Mental health + substance use Typical Low $4,570.88 Median $13,182.57 Typical High $20,417.38 | Facility | HH · Mental health + substance use | $4,570.88 | $13,182.57 | $20,417.38 |
Highmark BCBS Setting Professional Modifier HH · Mental health + substance use Typical Low $10,964.78 Median $10,964.78 Typical High $11,220.18 | Professional | HH · Mental health + substance use | $10,964.78 | $10,964.78 | $11,220.18 |
Where Pennsylvania 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.
Pennsylvania· 50th of 51
$4,074
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.