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 $14.45 Median $19.95 Typical High $33.88 | Professional | None | $14.45 | $19.95 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $40.74 | Professional | None | $11.75 | $16.98 | $40.74 |
HMSA Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $50.12 | Professional | None | $38.90 | $43.65 | $50.12 |
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 $11.22 Median $11.22 Typical High $11.75 | Professional | None | $11.22 | $11.22 | $11.75 |
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 $7.24 Median $10.00 Typical High $16.98 | Professional | 52 · Reduced service | $7.24 | $10.00 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.07 Typical High $6.76 | Professional | 53 · Discontinued | $2.88 | $4.07 | $6.76 |
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· 2nd of 51
$43.65
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.