How much rates vary
Professionalmedian $135 · 10th to 90th $93 to $178
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 $75.86 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $75.86 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $34.67 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $58.88 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
HMSA Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $89.13 | $147.91 | $154.88 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $47.86 | $50.12 | $51.29 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $100.00 | $104.71 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | None | $102.33 | $123.03 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $44.67 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $77.62 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $114.82 | $134.90 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $48.98 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $69.18 | $85.11 | $85.11 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $93.33 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $93.33 | $177.83 | $177.83 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $63.10 | $63.10 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $114.82 | $114.82 |
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 $35.48 Median $44.67 Typical High $61.66 | Professional | 52 · Reduced service | $35.48 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $25.12 | Professional | 53 · Discontinued | $14.13 | $17.78 | $25.12 |
Where Hawaii sits
The same service costs 4.5 times more in Alaska than in Texas. 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
$135
AK $295TX $66.07
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.