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 (both parts) Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $107.15 | $123.03 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | TC · Technical part | $20.42 | $20.42 | $20.42 |
HMSA Setting Professional Modifier None (both parts) Typical Low $29.51 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $29.51 | $194.98 | $213.80 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $173.78 | $186.21 | $186.21 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $29.51 | $32.36 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $190.55 | Professional | None | $138.04 | $151.36 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $120.23 | $131.83 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $24.55 | Professional | TC · Technical part | $18.20 | $19.95 | $24.55 |
United Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $1,122.02 | Facility | None | $269.15 | $616.60 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $131.83 | $131.83 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $21.38 | Professional | TC · Technical part | $18.20 | $20.42 | $21.38 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $29.51 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $29.51 | $109.65 | $162.18 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $17.78 | $125.89 | $141.25 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $18.62 Typical High $20.89 | Professional | TC · Technical part | $14.13 | $18.62 | $20.89 |
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 $14.79 Median $93.33 Typical High $104.71 | Professional | 51 · Multiple procedures | $14.79 | $93.33 | $104.71 |
Where Hawaii sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 36th of 51
$151
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.