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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $380.19 | Professional | None | $162.18 | $218.78 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
HMSA Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $512.86 | Professional | None | $186.21 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $1,122.02 | Facility | None | $269.15 | $616.60 | $1,122.02 |
United Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $407.38 | Professional | None | $275.42 | $407.38 | $407.38 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $208.93 Typical High $407.38 | Professional | None | $29.51 | $208.93 | $407.38 |
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 $190.55 Median $204.17 Typical High $204.17 | Professional | 51 · Multiple procedures | $190.55 | $204.17 | $204.17 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | AS · PA/NP assist | $64.57 | $69.18 | $69.18 |
Where Hawaii sits
The same service costs 4.0 times more in Alaska than in Maryland. 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
$363
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.