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 $933.25 Median $2,818.38 Typical High $3,890.45 | Facility | None | $933.25 | $2,818.38 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $446.68 | Professional | None | $158.49 | $199.53 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | None | $467.74 | $478.63 | $478.63 |
HMSA Setting Professional Modifier None Typical Low $331.13 Median $602.56 Typical High $645.65 | Professional | None | $331.13 | $602.56 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $398.11 Typical High $549.54 | Professional | None | $162.18 | $398.11 | $549.54 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,148.15 | Facility | None | $794.33 | $1,047.13 | $1,148.15 |
United Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $562.34 | Professional | None | $263.03 | $478.63 | $562.34 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $213.80 Typical High $562.34 | Professional | None | $29.51 | $213.80 | $562.34 |
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 $181.97 Median $323.59 Typical High $323.59 | Professional | 51 · Multiple procedures | $181.97 | $323.59 | $323.59 |
Where Hawaii sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 41st of 51
$372
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.