How much rates vary
Professionalmedian $191 · 10th to 90th $105 to $302
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 $120.23 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $120.23 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $97.72 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $54.95 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $154.88 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $58.88 | $74.13 | $131.83 |
HMSA Setting Professional Modifier None (both parts) Typical Low $104.71 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $104.71 | $213.80 | $229.09 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $134.90 | Professional | 26 · Professional part | $125.89 | $131.83 | $134.90 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $87.10 | $91.20 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $165.96 | Professional | None | $112.20 | $134.90 | $165.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $123.03 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.48 Typical High $14.45 | Professional | TC · Technical part | $9.55 | $11.48 | $14.45 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $199.53 | $302.00 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $117.49 | $131.83 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $87.10 | $120.23 | $120.23 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $100.00 | $190.55 | $190.55 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $165.96 | $165.96 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $14.45 Typical High $14.45 | Professional | TC · Technical part | $7.59 | $14.45 | $14.45 |
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 $57.54 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $57.54 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $22.91 | $28.18 | $37.15 |
Where Hawaii sits
The same service costs 4.2 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· 24th of 51
$191
AK $501FL $120
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.