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 $181.97 Median $239.88 Typical High $407.38 | Professional | None | $181.97 | $239.88 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
HMSA Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $478.63 | Professional | None | $380.19 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $549.54 | Professional | None | $199.53 | $398.11 | $549.54 |
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 $302.00 Median $436.52 Typical High $436.52 | Professional | None | $302.00 | $436.52 | $436.52 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $223.87 Typical High $436.52 | Professional | None | $29.51 | $223.87 | $436.52 |
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 $218.78 Median $234.42 Typical High $234.42 | Professional | 51 · Multiple procedures | $218.78 | $234.42 | $234.42 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | AS · PA/NP assist | $74.13 | $81.28 | $81.28 |
Where Hawaii sits
The same service costs 3.8 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· 12th of 51
$389
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.