How much rates vary
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 Typical Low $10.00 Median $13.80 Typical High $22.91 | Professional | None | $10.00 | $13.80 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $21.38 | Professional | None | $7.76 | $11.48 | $21.38 |
HMSA Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $16.60 | Professional | None | $12.88 | $14.45 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | None | $7.59 | $7.59 | $7.94 |
University Health Alliance Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | None | $40.74 | $56.23 | $56.23 |
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 $5.01 Median $6.76 Typical High $11.48 | Professional | 52 · Reduced service | $5.01 | $6.76 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.75 Typical High $4.57 | Professional | 53 · Discontinued | $2.00 | $2.75 | $4.57 |
Where Hawaii sits
The same service costs 9.3 times more in Alaska 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· 16th of 51
$14.79
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.