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 $8.32 Median $8.51 Typical High $16.60 | Facility | None | $8.32 | $8.51 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $30.90 | Professional | None | $8.32 | $16.60 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $33.11 Typical High $36.31 | Professional | None | $17.38 | $33.11 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $22.39 | Professional | None | $8.71 | $15.85 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $25.12 | Professional | None | $15.85 | $20.42 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $17.38 Typical High $58.88 | Professional | None | $7.94 | $17.38 | $58.88 |
Oscar Health Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $38.90 | Professional | None | $8.71 | $19.05 | $38.90 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $38.02 | Professional | None | $9.77 | $18.20 | $38.02 |
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 $4.17 Median $5.75 Typical High $8.71 | Professional | 52 · Reduced service | $4.17 | $5.75 | $8.71 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 33 · Preventive service | $14.79 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $16.22 Median $19.05 Typical High $33.11 | Professional | 59 · Distinct service | $16.22 | $19.05 | $33.11 |
Where Georgia sits
The same service costs 2.3 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· 24th of 51
$16.22
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.