How much rates vary
Professionalmedian $110 · 10th to 90th $98 to $138
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 $69.18 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $69.18 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $45.71 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $40.74 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $93.33 | $100.00 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $50.12 | $50.12 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $50.12 | $58.88 |
HMSA Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $54.95 | $54.95 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $41.69 Typical High $69.18 | Professional | 51 · Multiple procedures | $27.54 | $41.69 | $69.18 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | None | $104.71 | $104.71 | $114.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $52.48 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $53.70 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $100.00 | $100.00 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $50.12 | $50.12 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $50.12 | $58.88 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
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 $34.67 Median $42.66 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $22.91 | Professional | 53 · Discontinued | $13.80 | $16.98 | $22.91 |
Where Hawaii sits
The same service costs 3.7 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· 10th of 51
$110
AK $229NJ $61.66
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.