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 $933.25 Median $2,818.38 Typical High $3,890.45 | Facility | None | $933.25 | $2,818.38 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $870.96 | Professional | None | $338.84 | $467.74 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,584.89 | Facility | None | $977.24 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
HMSA Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | None | $812.83 | $1,071.52 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $954.99 | Professional | None | $380.19 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $5,754.40 | Facility | None | $3,019.95 | $3,548.13 | $5,754.40 |
United Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $831.76 | Professional | None | $676.08 | $831.76 | $831.76 |
University Health Alliance Setting Professional Modifier None Typical Low $112.20 Median $436.52 Typical High $4,168.69 | Professional | None | $112.20 | $436.52 | $4,168.69 |
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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $501.19 | $537.03 | $537.03 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | AS · PA/NP assist | $169.82 | $181.97 | $181.97 |
Where Hawaii sits
The same service costs 4.9 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.
Hawaii· 13th of 51
$832
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.