How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $11.22 Median $14.13 Typical High $17.38 | Facility | None | $11.22 | $14.13 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $33.11 | Professional | None | $11.22 | $14.13 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $28.18 | Professional | None | $12.59 | $16.60 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $23.44 | Professional | None | $10.96 | $14.13 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $20.89 | Professional | None | $13.18 | $16.98 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $34.67 | Professional | None | $12.02 | $15.14 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $54.95 | Professional | None | $10.96 | $15.49 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $32.36 | Professional | None | $12.02 | $21.38 | $32.36 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $28.84 | Professional | None | $12.02 | $15.85 | $28.84 |
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 24 · Unrelated visit after surgery Typical Low $17.38 Median $20.42 Typical High $27.54 | Professional | 24 · Unrelated visit after surgery | $17.38 | $20.42 | $27.54 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $12.59 Median $20.89 Typical High $30.20 | Professional | 25 · Same-day visit | $12.59 | $20.89 | $30.20 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 33 · Preventive service | $24.55 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | GC · Resident with teaching physician | $19.05 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | Q6 · Substitute physician, paid per time | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Professional Modifier EP · Child screening program Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | EP · Child screening program | $10.47 | $10.47 | $13.80 |
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· 23rd of 51
$14.79
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.