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 $22.39 Median $22.39 Typical High $24.55 | Professional | None | $22.39 | $22.39 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | None | $19.05 | $20.89 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $51.29 | Professional | None | $19.05 | $20.89 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $134.90 | Professional | None | $31.62 | $31.62 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $95.50 | Professional | None | $32.36 | $56.23 | $95.50 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
8 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 $20.42 Median $22.39 Typical High $32.36 | Professional | U3 · State-defined | $20.42 | $22.39 | $32.36 |
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 $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
Where Georgia sits
The same service costs 3.4 times more in Wyoming 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· 35th of 51
$19.50
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.