Behavioral Health Facilities reimbursement
by service line
Compare commercial behavioral health facility rates for withdrawal management, intensive outpatient, partial hospitalization, residential treatment, and inpatient services.
Compare national behavioral health facility rates by payer
Compare facility and program rates by level of care without forcing revenue codes, HCPCS services, and inpatient case rates into one unit.
Aetna state variation for H0015
National H0015 rate distribution
Each marker shows the national average published rate across billing entities for that payer.
National H0015 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | May 2026 | 12,562 | $155.02 | ||||
| Cigna | May 2026 | 3,107 | $233.80 | ||||
| Anthem | May 2026 | 171 | $168.60 |
- Source
- Negotiated rates published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for intensive outpatient treatment (H0015).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific behavioral health facilities compare?
Compare named provider rates with the selected payer's median and percentile distribution.
Behavioral health facility rates by payer
| Provider entity | State | Size | $ per reported unit | Gap to median | Position in Aetna range |
|---|
Named provider examples are available in a scoped behavioral health facilities market comparison.
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.How reimbursement changes by behavioral health level of care
Keep withdrawal management, intensive outpatient, partial hospitalization, residential treatment, revenue-code services, and inpatient cases in their appropriate payment units.
| Service line / billing code | Nat'l avg | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|---|
$ per reported unit · 7 codes | |||||
H0008Sub-acute detoxification, hospital inpatient | $289.03 | — | — | — | |
H0009Acute detoxification, hospital inpatient | $339.08 | — | — | — | |
H0010Sub-acute detoxification, residential inpatient | $264.60 | — | — | — | |
H0011Acute detoxification, residential inpatient | $374.18 | — | — | ||
H0012Sub-acute detoxification, residential outpatient | $70.19 | — | — | — | |
H0013Acute detoxification, residential outpatient | $429.28 | — | — | — | |
H0014Ambulatory detoxification | $173.17 | — | — | ||
$ per reported unit · 4 codes | |||||
H0015Substance-use intensive outpatient treatment | $155.02 | — | |||
H0035Mental health partial hospitalization, less than 24 hours | $281.65 | — | |||
S0201Partial hospitalization services, per diem | $279.28 | — | — | ||
S9480Intensive outpatient psychiatric services, per diem | $109.10 | — | |||
$ per reported unit · 4 codes | |||||
H0017Hospital residential behavioral health treatment, per diem | $668.31 | — | — | — | |
H0018Short-term non-hospital residential treatment, per diem | $315.47 | — | — | ||
H0019Long-term non-hospital residential treatment, per diem | $212.94 | — | — | — | |
H2036Alcohol or drug treatment program, per diem | $357.83 | — | — | — | |
$ per reported unit · 8 codes | |||||
0905Psychiatric intensive outpatient services | $245.14 | ||||
0906Chemical-dependency intensive outpatient services | $241.56 | ||||
0912Partial hospitalization, less intensive | $449.93 | ||||
0913Partial hospitalization, intensive | $450.31 | ||||
0914Individual behavioral health therapy | — | — | — | ||
0915Group behavioral health therapy | $213.51 | — | |||
0944Drug rehabilitation | $347.84 | — | |||
0945Alcohol rehabilitation | $348.69 | — | |||
$ per case · 7 codes | |||||
880Acute adjustment reaction and psychosocial dysfunction | $15,843.41 | ||||
881Depressive neuroses | $15,444.03 | ||||
885Psychoses | $22,808 | ||||
894Alcohol or drug dependence, left against medical advice | $10,281.52 | ||||
895Alcohol or drug dependence with rehabilitation therapy | $24,149.22 | ||||
896Alcohol or drug dependence without rehabilitation, with MCC | $28,890.92 | ||||
897Alcohol or drug dependence without rehabilitation, without MCC | $14,659.13 | ||||
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How these behavioral health facility rates are calculated
We start with negotiated rates published in payer machine-readable files and included in the underlying behavioral health facility report. For each selected code, eligible records are grouped by payer and summarized as averages and percentile distributions.
- Rate sourceThe displayed amount is a negotiated facility or program rate published in a payer machine-readable file, not a paid claim, billed charge, or utilization-based estimate.
- CalculationNational values summarize eligible published records across available states. State views use records associated with the selected state, and averages are not weighted by patient or service volume.
- Provider entityNamed examples use payer-file billing entities and may represent a treatment facility, operating organization, health system, or other contracted entity.
- Comparable ratesMatch the level of care, code system, program definition, setting, payment unit, payer product, and network. Per-service, per-diem, and inpatient case rates should remain separate.
Get the behavioral health facilities reimbursement data you're looking for
Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.
- Tell us your marketShare the specialty, geography, payers, networks, and providers.
- We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
- Get your market viewSee relevant payer and provider rates organized around your question.
We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
Trusted by teams that need defensible reimbursement data
How to interpret behavioral health facility rates
How to interpret the selected market and payer-published rates.
Which behavioral health facility services are represented?
The report includes HCPCS treatment codes, behavioral health revenue codes, selected MS-DRGs, and market-specific local codes.
Can per-diem and per-service rates be combined?
No. Residential, partial hospitalization, intensive outpatient, and inpatient services can use different units and payment structures.
Are these physician professional rates?
No. This page is designed around behavioral health facility and program reimbursement rather than physician-group professional services.
Which details make two behavioral health facility rates comparable?
Confirm the level of care, code system, program definition, patient population, setting, payment unit, payer product, and network before comparing two published rates.
How are named behavioral health facilities selected?
The public table selects billing entities across each payer's published rate range. Named examples may represent a facility, treatment organization, health system, or other billing entity.