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 $93.33 Median $93.33 Typical High $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $208.93 | Professional | None | $93.33 | $95.50 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $257.04 | Professional | None | $100.00 | $181.97 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $218.78 | Professional | None | $109.65 | $131.83 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $169.82 | Professional | None | $107.15 | $138.04 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $269.15 | Professional | None | $117.49 | $151.36 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $1,230.27 | Professional | None | $102.33 | $134.90 | $1,230.27 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $229.09 | Professional | None | $104.71 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $204.17 | Professional | None | $109.65 | $151.36 | $204.17 |
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 GC · Resident with teaching physician Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | GC · Resident with teaching physician | $131.83 | $131.83 | $131.83 |
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· 23rd of 51
$135
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.