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 $123.03 Median $154.88 Typical High $181.97 | Professional | None | $123.03 | $154.88 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | None | $213.80 | $229.09 | $229.09 |
HMSA Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $316.23 | Professional | None | $257.04 | $275.42 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $269.15 | Professional | None | $141.25 | $213.80 | $269.15 |
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 $204.17 Median $229.09 Typical High $229.09 | Professional | None | $204.17 | $229.09 | $229.09 |
University Health Alliance Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $239.88 | Professional | None | $123.03 | $186.21 | $239.88 |
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 $128.82 Median $138.04 Typical High $158.49 | Professional | 51 · Multiple procedures | $128.82 | $138.04 | $158.49 |
Where Hawaii sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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· 27th of 51
$224
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.