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 $53.70 Median $147.91 Typical High $389.05 | Professional | None (both parts) | $53.70 | $147.91 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $102.33 | $181.97 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $151.36 | $151.36 |
HMSA Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $169.82 | $181.97 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $229.09 | Professional | None | $165.96 | $181.97 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $25.70 | $28.18 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $141.25 | $154.88 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $30.20 | $30.20 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $204.17 | Professional | None (both parts) | $54.95 | $54.95 | $204.17 |
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 $89.13 Median $91.20 Typical High $91.20 | Professional | 51 · Multiple procedures | $89.13 | $91.20 | $91.20 |
Where Hawaii sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 15th of 51
$182
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.