How much rates vary
Professionalmedian $457 · 10th to 90th $302 to $575
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 $83.18 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $83.18 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $37.15 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $338.84 | Professional | None (both parts) | $112.20 | $151.36 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $70.79 | $97.72 | $257.04 |
HMSA Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $478.63 | Professional | None (both parts) | $354.81 | $457.09 | $478.63 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $58.88 | Professional | 26 · Professional part | $54.95 | $57.54 | $58.88 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $398.11 | $416.87 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $549.54 | Professional | None | $363.08 | $436.52 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $45.71 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $331.13 | $398.11 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $323.59 | $457.09 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $48.98 | $52.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $275.42 | $380.19 | $380.19 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $302.00 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $302.00 | $575.44 | $575.44 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $70.79 | $70.79 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $263.03 | $501.19 | $501.19 |
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 $41.69 Median $52.48 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $20.89 | $28.18 |
Where Hawaii sits
The same service costs 5.2 times more in North Dakota 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· 2nd of 51
$457
ND $457FL $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.