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 $112.20 Median $120.23 Typical High $162.18 | Facility | None | $112.20 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $181.97 | Professional | None | $112.20 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $69.18 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $407.38 | Professional | None | $123.03 | $190.55 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $208.93 | Professional | None | $123.03 | $181.97 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $302.00 | Professional | None | $186.21 | $190.55 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $416.87 | Professional | None | $112.20 | $194.98 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $288.40 | Professional | None | $123.03 | $223.87 | $288.40 |
United Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $426.58 | Professional | None | $125.89 | $204.17 | $426.58 |
2 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 25 · Same-day visit Typical Low $190.55 Median $208.93 Typical High $398.11 | Professional | 25 · Same-day visit | $190.55 | $208.93 | $398.11 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | GC · Resident with teaching physician | $229.09 | $229.09 | $229.09 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$162
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.