How much rates vary
Professionalmedian $214 · 10th to 90th $49 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $53.70 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $53.70 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $26.92 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $45.71 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $63.10 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $39.81 | $72.44 | $128.82 |
HMSA Setting Professional Modifier None (both parts) Typical Low $38.90 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $38.90 | $204.17 | $213.80 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $46.77 | Professional | 26 · Professional part | $43.65 | $45.71 | $46.77 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $158.49 | $165.96 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $194.98 | $257.04 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 26 · Professional part | $30.90 | $30.90 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $162.18 | $194.98 | $194.98 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $147.91 | $281.84 | $281.84 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $38.90 | $38.90 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $223.87 | $223.87 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $33.88 Typical High $57.54 | Professional | 52 · Reduced service | $26.92 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.49 Typical High $22.91 | Professional | 53 · Discontinued | $10.72 | $13.49 | $22.91 |
Where Hawaii sits
The same service costs 6.6 times more in Nebraska than in Florida. 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· 6th of 51
$214
NE $363FL $54.95
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.