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 $20.89 Median $21.88 Typical High $23.44 | Facility | None | $20.89 | $21.88 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | None | $20.89 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.75 Typical High $12.59 | Professional | 52 · Reduced service | $10.47 | $11.75 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $47.86 | Professional | None | $28.18 | $28.18 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $30.20 | Professional | None | $15.49 | $18.62 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $47.86 | Professional | None | $37.15 | $42.66 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $34.67 | Professional | None | $26.30 | $33.11 | $34.67 |
United Setting Professional Modifier None Typical Low $22.91 Median $42.66 Typical High $69.18 | Professional | None | $22.91 | $42.66 | $69.18 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $34.67 Typical High $63.10 | Professional | 59 · Distinct service | $27.54 | $34.67 | $63.10 |
Ambetter Setting Professional Modifier EP · Child screening program Typical Low $15.14 Median $19.95 Typical High $36.31 | Professional | EP · Child screening program | $15.14 | $19.95 | $36.31 |
Where Georgia sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 49th of 51
$20.89
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.