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 Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $44.67 | $51.29 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
HMSA Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $34.67 | $75.86 | $81.28 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $43.65 | $46.77 | $46.77 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $31.62 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | None | $57.54 | $63.10 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $34.67 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $26.30 | $28.18 | $35.48 |
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 $61.66 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $61.66 | $61.66 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $33.88 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $30.20 | Professional | TC · Technical part | $25.12 | $28.18 | $30.20 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $8.32 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $8.32 | $43.65 | $66.07 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $4.68 | $33.11 | $37.15 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $25.70 Typical High $28.84 | Professional | TC · Technical part | $3.63 | $25.70 | $28.84 |
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 $15.85 Median $23.44 Typical High $40.74 | Professional | 51 · Multiple procedures | $15.85 | $23.44 | $40.74 |
Where Hawaii sits
The same service costs 6.5 times more in Minnesota 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· 28th of 51
$61.66
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.