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 $72.44 Median $81.28 Typical High $109.65 | Professional | None | $72.44 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $123.03 | Professional | None | $70.79 | $75.86 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $162.18 | Professional | None | $83.18 | $131.83 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $128.82 | Professional | None | $67.61 | $70.79 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $141.25 | Professional | None | $109.65 | $131.83 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | None | $91.20 | $91.20 | $173.78 |
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 |
|---|---|---|---|---|---|
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 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | HO · Master's level | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | TD · Registered nurse | $67.61 | $67.61 | $91.20 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | U3 · State-defined | $77.62 | $77.62 | $95.50 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | U4 · State-defined | $25.70 | $30.20 | $30.20 |
Where Georgia sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 45th of 51
$87.10
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.