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 $4.57 Median $4.90 Typical High $10.72 | Facility | None | $4.57 | $4.90 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $12.02 | Professional | None | $4.57 | $7.94 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Facility | None | $32.36 | $32.36 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $10.00 | Professional | None | $7.08 | $9.12 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $12.02 | Facility | None | $8.91 | $8.91 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $12.02 | Professional | None | $4.57 | $4.57 | $12.02 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $9.12 | Professional | None | $6.03 | $8.32 | $9.12 |
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 PH · Ambulance P to H Typical Low $5.75 Median $9.12 Typical High $9.12 | Professional | PH · Ambulance P to H | $5.75 | $9.12 | $9.12 |
Where Georgia sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 29th of 51
$8.91
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.