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 $1,047.13 Median $2,818.38 Typical High $4,466.84 | Facility | None | $1,047.13 | $2,818.38 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,000.00 | Professional | None | $602.56 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,819.70 | Facility | None | $1,122.02 | $1,258.93 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $933.25 | $1,071.52 | $1,071.52 |
HMSA Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,348.96 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,230.27 | Professional | None | $602.56 | $977.24 | $1,230.27 |
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 $954.99 Median $1,071.52 Typical High $1,288.25 | Professional | None | $954.99 | $1,071.52 | $1,288.25 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $912.01 Typical High $4,786.30 | Professional | None | $29.51 | $912.01 | $4,786.30 |
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 $630.96 Median $676.08 Typical High $776.25 | Professional | 51 · Multiple procedures | $630.96 | $676.08 | $776.25 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | AS · PA/NP assist | $213.80 | $229.09 | $263.03 |
Where Hawaii sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 22nd of 51
$1,072
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.