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 $7.94 Median $9.77 Typical High $14.45 | Professional | None | $7.94 | $9.77 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
HMSA Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $23.99 | Professional | None | $18.62 | $20.89 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $18.20 | Professional | None | $12.02 | $14.45 | $18.20 |
United Setting Professional Modifier None Typical Low $5.50 Median $14.45 Typical High $14.45 | Professional | None | $5.50 | $14.45 | $14.45 |
University Health Alliance Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | None | $10.23 | $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 $3.98 Median $4.79 Typical High $7.24 | Professional | 52 · Reduced service | $3.98 | $4.79 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.95 Typical High $2.88 | Professional | 53 · Discontinued | $1.58 | $1.95 | $2.88 |
Where Hawaii sits
The same service costs 4.0 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· 9th of 51
$14.45
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.