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 $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 $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $6.31 Typical High $7.08 | Professional | None | $2.51 | $6.31 | $7.08 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $19.95 | Professional | None | $10.00 | $10.72 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $30.20 | Professional | None | $4.17 | $4.17 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Oscar Health Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.41 Typical High $13.18 | Professional | None | $4.57 | $7.41 | $13.18 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
7 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier U1 · State-defined Typical Low $4.17 Median $5.37 Typical High $57.54 | Professional | U1 · State-defined | $4.17 | $5.37 | $57.54 |
Kaiser Permanente Setting Professional Modifier U2 · State-defined Typical Low $4.17 Median $5.37 Typical High $38.90 | Professional | U2 · State-defined | $4.17 | $5.37 | $38.90 |
Kaiser Permanente Setting Professional Modifier U3 · State-defined Typical Low $4.17 Median $5.37 Typical High $30.20 | Professional | U3 · State-defined | $4.17 | $5.37 | $30.20 |
Kaiser Permanente Setting Professional Modifier U4 · State-defined Typical Low $4.17 Median $5.37 Typical High $20.42 | Professional | U4 · State-defined | $4.17 | $5.37 | $20.42 |
Kaiser Permanente Setting Professional Modifier U5 · State-defined Typical Low $4.17 Median $5.37 Typical High $15.14 | Professional | U5 · State-defined | $4.17 | $5.37 | $15.14 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
Where Georgia sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 40th of 51
$7.08
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.