How much rates vary
Professionalmedian $204 · 10th to 90th $54 to $275
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 $85.11 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $85.11 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $33.88 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $89.13 | $177.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $125.89 | $190.55 |
HMSA Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $229.09 | Professional | None (both parts) | $141.25 | $218.78 | $229.09 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $56.23 | $58.88 | $60.26 |
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 $33.88 Median $40.74 Typical High $51.29 | Professional | None | $33.88 | $40.74 | $51.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $6.76 Typical High $8.51 | Professional | TC · Technical part | $5.62 | $6.76 | $8.51 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $199.53 | $275.42 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $36.31 | $39.81 |
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 $43.65 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $43.65 | $83.18 | $83.18 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $48.98 | $48.98 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $8.51 Typical High $8.51 | Professional | TC · Technical part | $4.47 | $8.51 | $8.51 |
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 $42.66 Median $53.70 Typical High $95.50 | Professional | 52 · Reduced service | $42.66 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $38.02 | Professional | 53 · Discontinued | $16.98 | $21.38 | $38.02 |
Where Hawaii sits
The same service costs 4.2 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· 13th of 51
$204
NE $380FL $91.20
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.