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 $213.80 Median $707.95 Typical High $2,630.27 | Professional | None | $213.80 | $707.95 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $1,096.48 Typical High $1,096.48 | Professional | None | $323.59 | $1,096.48 | $1,096.48 |
HMSA Setting Professional Modifier None Typical Low $416.87 Median $1,348.96 Typical High $1,479.11 | Professional | None | $416.87 | $1,348.96 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $891.25 Typical High $1,122.02 | Professional | None | $199.53 | $891.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $338.84 Median $1,096.48 Typical High $1,096.48 | Professional | None | $338.84 | $1,096.48 | $1,096.48 |
University Health Alliance Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $1,258.93 | Professional | None | $181.97 | $275.42 | $1,258.93 |
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 $676.08 Median $741.31 Typical High $741.31 | Professional | 51 · Multiple procedures | $676.08 | $741.31 | $741.31 |
Where Hawaii sits
The same service costs 5.4 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· 6th of 51
$1,096
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.