How much rates vary
Professionalmedian $174 · 10th to 90th $49 to $229
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 $95.50 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $95.50 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $33.11 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $87.10 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $120.23 | $173.78 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $125.89 | $213.80 |
HMSA Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $117.49 | $181.97 | $190.55 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $50.12 | Professional | 26 · Professional part | $46.77 | $48.98 | $50.12 |
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 $40.74 Median $48.98 Typical High $60.26 | Professional | None | $40.74 | $48.98 | $60.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $42.66 | $53.70 |
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 $169.82 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $169.82 | $229.09 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $42.66 | $47.86 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $131.83 | $162.18 | $162.18 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $36.31 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $36.31 | $69.18 | $69.18 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $61.66 | $61.66 |
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 $46.77 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $46.77 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $24.55 | $32.36 |
Where Hawaii sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 20th of 51
$174
AK $389DC $87.10
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.