How much rates vary
Professionalmedian $42 · 10th to 90th $38 to $68
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 $28.84 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $28.84 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $16.98 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $40.74 | Professional | TC · Technical part | $15.49 | $20.89 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | None (both parts) | $37.15 | $38.02 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 26 · Professional part | $16.98 | $16.98 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $20.42 | $20.89 | $24.55 |
HMSA Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $63.10 | $67.61 | $67.61 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.12 | $25.70 | $25.70 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $12.88 Median $20.89 Typical High $33.88 | Professional | 51 · Multiple procedures | $12.88 | $20.89 | $33.88 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $38.02 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | None | $40.74 | $40.74 | $43.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $22.39 | $28.18 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None (both parts) | $38.02 | $38.02 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 26 · Professional part | $16.98 | $16.98 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $20.89 | $20.89 | $24.55 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | None (both parts) | $41.69 | $41.69 | $42.66 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.50 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | TC · Technical part | $22.91 | $22.91 | $23.44 |
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 $14.45 Median $19.50 Typical High $28.84 | Professional | 52 · Reduced service | $14.45 | $19.50 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.94 Typical High $11.48 | Professional | 53 · Discontinued | $5.75 | $7.94 | $11.48 |
Where Hawaii sits
The same service costs 3.4 times more in Alaska than in New York. 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· 13th of 51
$41.69
AK $87.10NY $25.70
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.