How much rates vary
Professionalmedian $22 · 10th to 90th $20 to $65
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 $17.78 Median $23.44 Typical High $43.65 | Professional | None (both parts) | $17.78 | $23.44 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $14.13 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.79 Typical High $30.20 | Professional | TC · Technical part | $3.55 | $4.79 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.95 Typical High $22.91 | Professional | None (both parts) | $17.78 | $19.95 | $22.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $15.49 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $2.69 | $4.17 | $4.90 |
HMSA Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $61.66 | $64.57 | $64.57 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.05 | $19.50 | $19.50 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $9.77 Median $22.39 Typical High $32.36 | Professional | 51 · Multiple procedures | $9.77 | $22.39 | $32.36 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | None | $20.42 | $20.42 | $22.39 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $15.85 | $15.85 | $17.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | TC · Technical part | $4.37 | $4.37 | $4.79 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | None (both parts) | $19.95 | $19.95 | $22.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $15.49 | $15.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $4.17 | $4.17 | $4.90 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | None (both parts) | $21.88 | $21.88 | $22.39 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.78 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $4.90 | Professional | TC · Technical part | $4.79 | $4.79 | $4.90 |
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 $8.91 Median $11.75 Typical High $21.88 | Professional | 52 · Reduced service | $8.91 | $11.75 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.68 Typical High $8.71 | Professional | 53 · Discontinued | $3.63 | $4.68 | $8.71 |
Where Hawaii sits
The same service costs 2.5 times more in California than in New York. 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· 19th of 51
$22.39
CA $40.74NY $16.22
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.