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 $1,513.56 Median $3,890.45 Typical High $3,890.45 | Facility | None | $1,513.56 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $676.08 | Professional | None | $109.65 | $151.36 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $724.44 Typical High $724.44 | Professional | None | $186.21 | $724.44 | $724.44 |
HMSA Setting Professional Modifier None Typical Low $239.88 Median $977.24 Typical High $977.24 | Professional | None | $239.88 | $977.24 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $602.56 Typical High $758.58 | Professional | None | $114.82 | $602.56 | $758.58 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $194.98 Median $724.44 Typical High $724.44 | Professional | None | $194.98 | $724.44 | $724.44 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $147.91 Typical High $851.14 | Professional | None | $29.51 | $147.91 | $851.14 |
1 more rate 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 $457.09 Median $489.78 Typical High $489.78 | Professional | 51 · Multiple procedures | $457.09 | $489.78 | $489.78 |
Where Hawaii sits
The same service costs 4.0 times more in Wisconsin 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· 5th of 51
$661
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.