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 (both parts) Typical Low $34.67 Median $54.95 Typical High $77.62 | Professional | None (both parts) | $34.67 | $54.95 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $36.31 | $41.69 | $41.69 |
HMSA Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $50.12 | Professional | None | $39.81 | $42.66 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None (both parts) | $36.31 | $36.31 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | TC · Technical part | $52.48 | $52.48 | $58.88 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $74.13 | $74.13 | $75.86 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $60.26 | $60.26 | $61.66 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 51 · Multiple procedures | $66.07 | $66.07 | $66.07 |
Where Hawaii sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 4th of 51
$74.13
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.