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 $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.37 Typical High $6.03 | Professional | None | $4.68 | $5.37 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | None | $12.02 | $12.02 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.51 | Professional | None | $5.50 | $5.50 | $8.51 |
Oscar Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $5.25 Median $9.77 Typical High $16.60 | Professional | None | $5.25 | $9.77 | $16.60 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HO · Master's level | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier HP · Doctoral level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HP · Doctoral level | $11.48 | $11.48 | $11.48 |
3 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 $5.50 Median $6.92 Typical High $25.12 | Professional | U1 · State-defined | $5.50 | $6.92 | $25.12 |
Kaiser Permanente Setting Professional Modifier U2 · State-defined Typical Low $5.50 Median $6.92 Typical High $16.98 | Professional | U2 · State-defined | $5.50 | $6.92 | $16.98 |
Kaiser Permanente Setting Professional Modifier U3 · State-defined Typical Low $5.50 Median $6.92 Typical High $13.18 | Professional | U3 · State-defined | $5.50 | $6.92 | $13.18 |
Where Georgia sits
The same service costs 12.9 times more in Maryland 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
$6.03
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.