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 $1,479.11 Median $2,818.38 Typical High $6,025.60 | Facility | None | $1,479.11 | $2,818.38 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,318.26 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,570.40 | Facility | None | $1,548.82 | $1,737.80 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,949.84 | $1,949.84 |
HMSA Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,290.87 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,905.46 | $2,398.83 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $5,754.40 | Facility | None | $3,019.95 | $3,548.13 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,659.59 | $1,949.84 | $2,089.30 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $1,584.89 Typical High $6,918.31 | Professional | None | $29.51 | $1,584.89 | $6,918.31 |
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 $1,071.52 Median $1,148.15 Typical High $1,202.26 | Professional | 51 · Multiple procedures | $1,071.52 | $1,148.15 | $1,202.26 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $389.05 Typical High $407.38 | Professional | AS · PA/NP assist | $363.08 | $389.05 | $407.38 |
Where Hawaii sits
The same service costs 5.2 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· 20th of 51
$1,905
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.