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 $1,000.00 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $173.78 | Professional | None | $66.07 | $81.28 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $213.80 | Professional | None | $117.49 | $213.80 | $213.80 |
HMSA Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $275.42 | Professional | None | $144.54 | $251.19 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $213.80 | Professional | None | $69.18 | $169.82 | $213.80 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $213.80 | Professional | None | $123.03 | $213.80 | $213.80 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $87.10 Typical High $208.93 | Professional | None | $29.51 | $87.10 | $208.93 |
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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | 51 · Multiple procedures | $83.18 | $134.90 | $134.90 |
Where Hawaii sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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.
Hawaii· 14th of 51
$182
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.