How much rates vary
Professionalmedian $59 · 10th to 90th $54 to $89
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 $40.74 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $40.74 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $16.60 | $22.39 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $30.90 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $53.70 | $53.70 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $36.31 | Professional | TC · Technical part | $30.90 | $31.62 | $36.31 |
HMSA Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $58.88 | $81.28 | $89.13 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $30.20 | $31.62 | $31.62 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $28.84 Typical High $44.67 | Professional | 51 · Multiple procedures | $15.49 | $28.84 | $44.67 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | None | $57.54 | $57.54 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $33.88 | $33.88 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $53.70 | $53.70 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | TC · Technical part | $31.62 | $31.62 | $36.31 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None (both parts) | $58.88 | $58.88 | $60.26 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 26 · Professional part | $24.55 | $24.55 | $25.12 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | TC · Technical part | $33.88 | $33.88 | $34.67 |
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 $20.42 Median $27.54 Typical High $40.74 | Professional | 52 · Reduced service | $20.42 | $27.54 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.96 Typical High $16.22 | Professional | 53 · Discontinued | $8.13 | $10.96 | $16.22 |
Where Hawaii sits
The same service costs 3.4 times more in Alaska than in Utah. 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
$58.88
AK $123UT $36.31
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.