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 $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $363.08 | Professional | None | $117.49 | $120.23 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | None | $208.93 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $223.87 | Professional | None | $117.49 | $131.83 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $478.63 | Professional | None | $117.49 | $120.23 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $354.81 | Professional | None | $117.49 | $177.83 | $354.81 |
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 $223.87 Median $229.09 Typical High $229.09 | Professional | G0 · Stroke telehealth | $223.87 | $229.09 | $229.09 |
Where Georgia sits
The same service costs 2.6 times more in Alaska than in Texas. 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· 34th of 51
$132
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.