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 $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | None | $42.66 | $42.66 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $47.86 Typical High $57.54 | Professional | None | $18.20 | $47.86 | $57.54 |
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 $38.90 Median $38.90 Typical High $83.18 | Professional | None | $38.90 | $38.90 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $57.54 | Professional | None | $38.02 | $52.48 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $100.00 | Professional | None | $45.71 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $63.10 | Professional | None | $22.91 | $33.88 | $63.10 |
1 more rate 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 |
|---|---|---|---|---|---|
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 2.9 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
$42.66
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.