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 $20.89 Median $24.55 Typical High $28.84 | Facility | None | $20.89 | $24.55 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $27.54 | Professional | None | $19.95 | $20.89 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $41.69 | Professional | None | $33.11 | $35.48 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $57.54 | Professional | None | $26.92 | $40.74 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
Oscar Health Setting Facility Modifier None Typical Low $23.44 Median $25.70 Typical High $28.84 | Facility | None | $23.44 | $25.70 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $25.12 | Professional | None | $17.78 | $18.20 | $25.12 |
United Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $35.48 | Professional | None | $33.11 | $33.88 | $35.48 |
1 more rate 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 AT · Acute treatment Typical Low $34.67 Median $40.74 Typical High $74.13 | Professional | AT · Acute treatment | $34.67 | $40.74 | $74.13 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 30th of 51
$35.48
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.