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 $309.03 Median $457.09 Typical High $812.83 | Professional | None | $309.03 | $457.09 | $812.83 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
HMSA Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $812.83 | Professional | None | $660.69 | $812.83 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $977.24 | Professional | None | $416.87 | $741.31 | $977.24 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,041.74 | $2,511.89 | $2,570.40 |
United Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | None | $562.34 | $794.33 | $794.33 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $436.52 Typical High $851.14 | Professional | None | $29.51 | $436.52 | $851.14 |
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 $380.19 Median $407.38 Typical High $407.38 | Professional | 51 · Multiple procedures | $380.19 | $407.38 | $407.38 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $138.04 Typical High $138.04 | Professional | AS · PA/NP assist | $128.82 | $138.04 | $138.04 |
Where Hawaii sits
The same service costs 4.7 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· 11th of 51
$759
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.