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 $549.54 Median $660.69 Typical High $977.24 | Professional | None | $549.54 | $660.69 | $977.24 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
HMSA Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,174.90 | $1,258.93 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,174.90 | Professional | None | $676.08 | $870.96 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,202.26 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | None | $776.25 | $954.99 | $954.99 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $776.25 Typical High $1,047.13 | Professional | None | $29.51 | $776.25 | $1,047.13 |
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 $588.84 Median $630.96 Typical High $630.96 | Professional | 51 · Multiple procedures | $588.84 | $630.96 | $630.96 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | AS · PA/NP assist | $199.53 | $213.80 | $213.80 |
Where Hawaii sits
The same service costs 5.6 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
$933
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.