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 $91.20 Median $91.20 Typical High $93.33 | Facility | None | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $275.42 | Professional | None | $91.20 | $91.20 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | None | $138.04 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $181.97 | Professional | None | $91.20 | $104.71 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $354.81 | Professional | None | $93.33 | $95.50 | $354.81 |
United Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $316.23 | Professional | None | $102.33 | $147.91 | $316.23 |
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 G0 · Stroke telehealth Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | G0 · Stroke telehealth | $177.83 | $177.83 | $177.83 |
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· 31st of 51
$105
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.