How much rates vary
Professionalmedian $81 · 10th to 90th $72 to $115
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 $51.29 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $51.29 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $27.54 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $41.69 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $72.44 | $72.44 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $43.65 | $51.29 |
HMSA Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $102.33 | $114.82 | $114.82 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $37.15 | $38.02 | $38.02 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $38.90 Typical High $57.54 | Professional | 51 · Multiple procedures | $19.05 | $38.90 | $57.54 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | None | $77.62 | $77.62 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $30.20 | $30.20 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $46.77 | $46.77 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $72.44 | $72.44 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $43.65 | $43.65 | $51.29 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | TC · Technical part | $46.77 | $46.77 | $47.86 |
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 $27.54 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $27.54 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.79 Typical High $20.42 | Professional | 53 · Discontinued | $10.96 | $14.79 | $20.42 |
Where Hawaii sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 12th of 51
$81.28
AK $162FL $45.71
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.