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 $1,479.11 Median $2,818.38 Typical High $6,025.60 | Facility | None | $1,479.11 | $2,818.38 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,071.52 | Professional | None | $616.60 | $794.33 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,570.40 | Facility | None | $1,548.82 | $1,737.80 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
HMSA Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,348.96 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,202.26 | Professional | None | $630.96 | $954.99 | $1,202.26 |
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 $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | None | $851.14 | $1,023.29 | $1,023.29 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $776.25 Typical High $1,148.15 | Professional | None | $29.51 | $776.25 | $1,148.15 |
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 $616.60 Median $676.08 Typical High $676.08 | Professional | 51 · Multiple procedures | $616.60 | $676.08 | $676.08 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | AS · PA/NP assist | $213.80 | $229.09 | $229.09 |
Where Hawaii sits
The same service costs 6.2 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.
Hawaii· 16th of 51
$1,023
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.