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 $17.78 Median $17.78 Typical High $281.84 | Facility | None | $17.78 | $17.78 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | None | $17.78 | $17.78 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $23.44 | Professional | None | $20.42 | $22.39 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $79.43 | Professional | None | $20.89 | $23.44 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $181.97 | Professional | None | $46.77 | $46.77 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $138.04 | Professional | None | $46.77 | $72.44 | $138.04 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
6 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 U3 · State-defined Typical Low $26.92 Median $29.51 Typical High $35.48 | Professional | U3 · State-defined | $26.92 | $29.51 | $35.48 |
Kaiser Permanente Setting Professional Modifier U1 · State-defined Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | U1 · State-defined | $46.77 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier U2 · State-defined Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | U2 · State-defined | $38.90 | $46.77 | $46.77 |
Kaiser Permanente Setting Professional Modifier U3 · State-defined Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | U3 · State-defined | $30.20 | $46.77 | $46.77 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $30.20 | $30.20 | $30.20 |
Where Georgia sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 39th of 51
$20.89
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.