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 $17.78 Median $17.78 Typical High $25.12 | Professional | None | $17.78 | $17.78 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $22.39 | Professional | None | $19.05 | $21.38 | $22.39 |
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 $19.95 Typical High $50.12 | Professional | None | $19.05 | $19.95 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $125.89 | Professional | None | $25.12 | $25.12 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $97.72 | Professional | None | $33.88 | $48.98 | $97.72 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
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 $13.49 Median $13.49 Typical High $28.18 | Professional | U3 · State-defined | $13.49 | $13.49 | $28.18 |
Kaiser Permanente Setting Professional Modifier U1 · State-defined Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | U1 · State-defined | $21.88 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier U2 · State-defined Typical Low $16.98 Median $25.12 Typical High $25.12 | Professional | U2 · State-defined | $16.98 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier U3 · State-defined Typical Low $13.18 Median $25.12 Typical High $25.12 | Professional | U3 · State-defined | $13.18 | $25.12 | $25.12 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HO · Master's level | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HP · Doctoral level | $17.38 | $17.38 | $17.38 |
Where Georgia sits
The same service costs 4.7 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· 39th of 51
$19.05
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.