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 $81.28 Median $91.20 Typical High $107.15 | Facility | None | $81.28 | $91.20 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $107.15 | Professional | None | $81.28 | $91.20 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $79.43 Typical High $91.20 | Professional | None | $24.55 | $79.43 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $117.49 | Professional | None | $67.61 | $72.44 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $154.88 | Professional | None | $79.43 | $125.89 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $112.20 | Professional | None | $69.18 | $70.79 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $134.90 | Professional | None | $104.71 | $128.82 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
United Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None | $89.13 | $89.13 | $169.82 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $100.00 Typical High $107.15 | Professional | AF · Specialist physician | $70.79 | $100.00 | $107.15 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | HO · Master's level | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | HP · Doctoral level | $102.33 | $102.33 | $102.33 |
Where Georgia sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 46th of 51
$81.28
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.