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 $1,000.00 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $177.83 | Professional | None | $58.88 | $72.44 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $199.53 Typical High $199.53 | Professional | None | $75.86 | $199.53 | $199.53 |
HMSA Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $239.88 | Professional | None | $117.49 | $239.88 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $158.49 Typical High $199.53 | Professional | None | $56.23 | $158.49 | $199.53 |
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 $100.00 Median $199.53 Typical High $199.53 | Professional | None | $100.00 | $199.53 | $199.53 |
University Health Alliance Setting Professional Modifier None Typical Low $28.84 Median $72.44 Typical High $229.09 | Professional | None | $28.84 | $72.44 | $229.09 |
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 $112.20 Median $120.23 Typical High $120.23 | Professional | 51 · Multiple procedures | $112.20 | $120.23 | $120.23 |
Where Hawaii sits
The same service costs 3.7 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· 9th of 51
$191
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.