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 $616.60 Median $616.60 Typical High $660.69 | Facility | None | $616.60 | $616.60 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $1,148.15 | Professional | None | $616.60 | $630.96 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $3,630.78 Typical High $3,630.78 | Professional | None | $812.83 | $3,630.78 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,479.11 | Professional | None | $691.83 | $870.96 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,778.28 | Professional | None | $776.25 | $1,000.00 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $6,025.60 | Professional | None | $691.83 | $891.25 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $1,548.82 | Professional | None | $691.83 | $1,258.93 | $1,548.82 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,584.89 | Professional | None | $724.44 | $1,000.00 | $1,584.89 |
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 25 · Same-day visit Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 25 · Same-day visit | $1,318.26 | $1,318.26 | $1,318.26 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 24th of 51
$891
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.