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 $24.55 Median $42.66 Typical High $147.91 | Professional | None | $24.55 | $42.66 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $169.82 Typical High $169.82 | Professional | None | $36.31 | $169.82 | $169.82 |
HMSA Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $199.53 | Professional | None | $169.82 | $173.78 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $147.91 Typical High $186.21 | Professional | None | $29.51 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $53.70 Median $169.82 Typical High $169.82 | Professional | None | $53.70 | $169.82 | $169.82 |
University Health Alliance Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $128.82 | Professional | None | $38.90 | $39.81 | $128.82 |
1 more rate 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 51 · Multiple procedures | $85.11 | $87.10 | $87.10 |
Where Hawaii sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 3rd of 51
$129
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.