How much rates vary
Facilitymedian $13 · 10th to 90th $13 to $282Professionalmedian $14 · 10th to 90th $13 to $21
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 $13.18 Median $13.18 Typical High $281.84 | Facility | None | $13.18 | $13.18 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | None | $13.18 | $13.18 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | None | $19.95 | $23.44 | $23.44 |
Ambetter 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 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $20.89 | Professional | None | $12.88 | $14.13 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $52.48 | Professional | None | $10.00 | $12.02 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $81.28 | Professional | None | $31.62 | $31.62 | $81.28 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Oscar Health Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $97.72 | Professional | None | $32.36 | $58.88 | $97.72 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
9 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 $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier U5 · State-defined Typical Low $18.62 Median $23.99 Typical High $24.55 | Professional | U5 · State-defined | $18.62 | $23.99 | $24.55 |
Kaiser Permanente Setting Professional Modifier U1 · State-defined Typical Low $31.62 Median $40.74 Typical High $57.54 | Professional | U1 · State-defined | $31.62 | $40.74 | $57.54 |
Kaiser Permanente Setting Professional Modifier U2 · State-defined Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | U2 · State-defined | $31.62 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier U3 · State-defined Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | U3 · State-defined | $30.20 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier U4 · State-defined Typical Low $20.42 Median $31.62 Typical High $31.62 | Professional | U4 · State-defined | $20.42 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier U5 · State-defined Typical Low $15.14 Median $31.62 Typical High $31.62 | Professional | U5 · State-defined | $15.14 | $31.62 | $31.62 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
Where Georgia sits
The same service costs 4.5 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· 41st of 51
$14.13
WY $48.98WV $10.96
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.