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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $30.20 | Professional | None | $16.60 | $25.12 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | None | $23.44 | $23.44 | $24.55 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $50.12 | Professional | None | $30.90 | $41.69 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Facility | None | $47.86 | $56.23 | $56.23 |
Pacific Source Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $31.62 | Professional | None | $15.14 | $15.14 | $31.62 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
5 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 FQ · Audio-only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | FQ · Audio-only | $22.39 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier HF · Substance use program Typical Low $6.92 Median $27.54 Typical High $30.90 | Professional | HF · Substance use program | $6.92 | $27.54 | $30.90 |
Ambetter Setting Professional Modifier HG · Opioid treatment program Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HG · Opioid treatment program | $8.51 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier SE · Publicly funded program Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | SE · Publicly funded program | $23.44 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier TG · Complex care level Typical Low $6.31 Median $6.31 Typical High $41.69 | Professional | TG · Complex care level | $6.31 | $6.31 | $41.69 |
Where Washington sits
The same service costs 8.7 times more in Montana than in California. 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.
Washington· 2nd of 51
$40.74
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.