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 $57.54 Median $57.54 Typical High $61.66 | Facility | None | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $181.97 | Professional | None | $57.54 | $60.26 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | None | $117.49 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $134.90 | Professional | None | $66.07 | $74.13 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $165.96 | Professional | None | $66.07 | $75.86 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $269.15 | Professional | None | $64.57 | $87.10 | $269.15 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | None | $70.79 | $112.20 | $165.96 |
United Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $144.54 | Professional | None | $64.57 | $93.33 | $144.54 |
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 $28.84 Median $28.84 Typical High $32.36 | Professional | 52 · Reduced service | $28.84 | $28.84 | $32.36 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | 25 · Same-day visit | $123.03 | $123.03 | $151.36 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 33 · Preventive service | $75.86 | $75.86 | $75.86 |
Where Georgia sits
The same service costs 3.0 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· 25th of 51
$75.86
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.