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 $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.05 Typical High $0.05 | Facility | None | $0.02 | $0.05 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.15 Median $0.17 Typical High $0.22 | Professional | None | $0.15 | $0.17 | $0.22 |
Cigna Setting Facility Modifier None Typical Low $0.28 Median $0.32 Typical High $0.50 | Facility | None | $0.28 | $0.32 | $0.50 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.33 | Professional | None | $0.28 | $0.28 | $0.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.17 Median $2.00 Typical High $2.00 | Professional | None | $0.17 | $2.00 | $2.00 |
Oscar Health Setting Professional Modifier None Typical Low $1.07 Median $1.23 Typical High $1.45 | Professional | None | $1.07 | $1.23 | $1.45 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.25 | Professional | None | $0.18 | $0.18 | $0.25 |
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 JZ · No drug discarded Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | JZ · No drug discarded | $60.26 | $60.26 | $60.26 |
Where Georgia sits
The same service costs 5.0 times more in North Carolina than in New Jersey. 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· 39th of 51
$0.18
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.