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 $79.43 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $79.43 | $91.20 | $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 (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
HMSA Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $95.50 | $128.82 | $147.91 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $72.44 | $77.62 | $77.62 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $100.00 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $165.96 | Professional | None | $120.23 | $131.83 | $165.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $57.54 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $67.61 | $74.13 | $93.33 |
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 $112.20 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $112.20 | $112.20 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $53.70 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $58.88 | $58.88 | $60.26 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $14.13 Median $29.51 Typical High $112.20 | Professional | None (both parts) | $14.13 | $29.51 | $112.20 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $7.41 | $52.48 | $58.88 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $6.92 | $54.95 | $69.18 |
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 $36.31 Median $53.70 Typical High $74.13 | Professional | 51 · Multiple procedures | $36.31 | $53.70 | $74.13 |
Where Hawaii sits
The same service costs 5.9 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· 32nd of 51
$112
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.