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 $61.66 Median $64.57 Typical High $67.61 | Facility | None | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $186.21 | Professional | None | $61.66 | $69.18 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $134.90 | Professional | None | $81.28 | $123.03 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $144.54 | Professional | None | $70.79 | $83.18 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $120.23 | Professional | None | $75.86 | $97.72 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $194.98 | Professional | None | $70.79 | $87.10 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $114.82 | Professional | None | $66.07 | $85.11 | $114.82 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $181.97 | Professional | None | $74.13 | $123.03 | $181.97 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $165.96 | Professional | None | $74.13 | $102.33 | $165.96 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $33.88 | $36.31 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $64.57 Median $123.03 Typical High $169.82 | Professional | 25 · Same-day visit | $64.57 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $100.00 Typical High $169.82 | Professional | 33 · Preventive service | $83.18 | $100.00 | $169.82 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in New York. 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
$85.11
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.