How much rates vary
Professionalmedian $129 · 10th to 90th $46 to $437
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 $144.54 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $144.54 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $36.31 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $194.98 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $87.10 | $123.03 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $72.44 | $125.89 |
HMSA Setting Professional Modifier None (both parts) Typical Low $45.71 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $45.71 | $128.82 | $134.90 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 26 · Professional part | $51.29 | $53.70 | $54.95 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $77.62 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $72.44 | Professional | None | $47.86 | $57.54 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $53.70 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.98 Typical High $5.01 | Professional | TC · Technical part | $3.31 | $3.98 | $5.01 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $316.23 | $436.52 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $47.86 | $53.70 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $281.84 | $363.08 | $363.08 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $38.90 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $38.90 | $72.44 | $72.44 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $69.18 | $69.18 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $5.01 Typical High $5.01 | Professional | TC · Technical part | $4.57 | $5.01 | $5.01 |
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 $72.44 Median $104.71 Typical High $141.25 | Professional | 52 · Reduced service | $72.44 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $56.23 | Professional | 53 · Discontinued | $29.51 | $41.69 | $56.23 |
Where Hawaii sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 45th of 51
$129
NE $407NJ $112
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.