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 $173.78 Median $173.78 Typical High $181.97 | Facility | None | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $537.03 | Professional | None | $173.78 | $177.83 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $323.59 | Professional | None | $190.55 | $316.23 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $331.13 | Professional | None | $169.82 | $190.55 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $707.95 | Professional | None | $165.96 | $169.82 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $501.19 | Professional | None | $173.78 | $257.04 | $501.19 |
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 $316.23 Median $323.59 Typical High $323.59 | Professional | G0 · Stroke telehealth | $316.23 | $323.59 | $323.59 |
Where Georgia sits
The same service costs 2.6 times more in Alaska than in Louisiana. 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· 36th of 51
$191
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.