How much rates vary
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 $72.44 Median $97.72 Typical High $123.03 | Professional | None (both parts) | $72.44 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $25.12 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $91.20 | $134.90 | $229.09 |
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 $70.79 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $100.00 | $173.78 |
HMSA Setting Professional Modifier None (both parts) Typical Low $39.81 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $39.81 | $165.96 | $173.78 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $33.11 | $34.67 | $35.48 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $131.83 | $138.04 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $44.67 | Professional | None | $30.20 | $36.31 | $44.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.90 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $5.50 Typical High $6.92 | Professional | TC · Technical part | $4.57 | $5.50 | $6.92 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $154.88 | $208.93 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $30.20 | $33.88 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $125.89 | $162.18 | $162.18 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $27.54 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $27.54 | $51.29 | $51.29 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $43.65 | $43.65 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $6.92 Typical High $6.92 | Professional | TC · Technical part | $3.72 | $6.92 | $6.92 |
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 $36.31 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $36.31 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $18.62 | $25.12 |
Where Hawaii sits
The same service costs 4.0 times more in Alaska 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· 14th of 51
$158
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.