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 $2,818.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $2,818.38 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,380.38 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
HMSA Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,090.30 | Professional | None | $2,570.40 | $2,754.23 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,445.44 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $2,511.89 | Facility | None | $1,148.15 | $1,202.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,659.59 | $2,041.74 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $1,202.26 Typical High $1,778.28 | Professional | None | $29.51 | $1,202.26 | $1,778.28 |
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 $1,288.25 Median $1,380.38 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $1,288.25 | $1,380.38 | $1,584.89 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $436.52 Median $467.74 Typical High $537.03 | Professional | AS · PA/NP assist | $436.52 | $467.74 | $537.03 |
Where Hawaii sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 35th of 51
$1,660
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.