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 $208.93 Typical High $208.93 | Facility | None | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | None | $173.78 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $95.50 | $104.71 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $380.19 | Professional | None | $190.55 | $316.23 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $371.54 | Professional | None | $208.93 | $269.15 | $371.54 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $346.74 | Professional | None | $181.97 | $204.17 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | None | $173.78 | $190.55 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $95.50 | $104.71 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | None | $208.93 | $208.93 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $208.93 | Facility | None | $186.21 | $208.93 | $208.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | None | $186.21 | $190.55 | $208.93 |
United Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $295.12 | Professional | None | $162.18 | $181.97 | $295.12 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier G0 · Stroke telehealth Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | G0 · Stroke telehealth | $218.78 | $218.78 | $218.78 |
Where Pennsylvania sits
The same service costs 3.2 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.
Pennsylvania· 19th of 51
$209
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.