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 $2.82 Median $3.24 Typical High $3.80 | Facility | None | $2.82 | $3.24 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $11.75 | Professional | None | $2.82 | $3.24 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $13.80 | Professional | None | $10.23 | $11.75 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $16.22 | Professional | None | $8.91 | $10.00 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $21.88 | Professional | None | $11.48 | $17.78 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $15.14 | Professional | None | $2.82 | $3.24 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | None | $12.30 | $15.49 | $18.62 |
Oscar Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | None | $11.22 | $11.22 | $21.38 |
3 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 HO · Master's level Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | HO · Master's level | $10.00 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | SA · Nurse practitioner | $13.18 | $13.18 | $13.18 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | U3 · State-defined | $10.00 | $10.00 | $10.00 |
Where Georgia sits
The same service costs 1.8 times more in Alaska than in Georgia. 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.
Georgia· 51st of 51
$10.00
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.