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 $22.91 Median $22.91 Typical High $23.99 | Facility | None | $22.91 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.13 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $57.54 | Professional | None | $26.92 | $26.92 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $30.90 Typical High $36.31 | Professional | None | $13.49 | $30.90 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $52.48 | Professional | None | $25.12 | $25.12 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $37.15 | Professional | None | $23.99 | $33.11 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $29.51 Median $52.48 Typical High $64.57 | Professional | None | $29.51 | $52.48 | $64.57 |
United Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $41.69 | Professional | None | $15.49 | $20.89 | $41.69 |
2 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 HA · Child/adolescent program Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | HA · Child/adolescent program | $25.12 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier EP · Child screening program Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | EP · Child screening program | $5.62 | $5.62 | $5.62 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 25th of 51
$27.54
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.