How much rates vary
Professionalmedian $21 · 10th to 90th $19 to $60
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 $15.85 Median $21.38 Typical High $41.69 | Professional | None (both parts) | $15.85 | $21.38 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $10.72 | $12.59 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $4.37 Typical High $28.84 | Professional | TC · Technical part | $3.39 | $4.37 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $18.62 Typical High $21.88 | Professional | None (both parts) | $15.85 | $18.62 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $13.49 | $14.45 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $2.29 | $4.17 | $4.90 |
HMSA Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $57.54 | $60.26 | $60.26 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.60 | $16.98 | $16.98 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $21.38 Typical High $30.20 | Professional | 51 · Multiple procedures | $8.51 | $21.38 | $30.20 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | None | $19.05 | $19.05 | $20.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.22 |
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 $18.62 Median $18.62 Typical High $21.88 | Professional | None (both parts) | $18.62 | $18.62 | $21.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $14.45 | $16.98 |
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 $20.89 Median $20.89 Typical High $21.38 | Professional | None (both parts) | $20.89 | $20.89 | $21.38 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.22 |
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 $8.51 Median $10.72 Typical High $20.42 | Professional | 52 · Reduced service | $8.51 | $10.72 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.27 Typical High $8.32 | Professional | 53 · Discontinued | $3.39 | $4.27 | $8.32 |
Where Hawaii sits
The same service costs 2.6 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
$21.38
CA $38.02NY $14.45
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.