How much rates vary
Professionalmedian $158 · 10th to 90th $145 to $182
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 $91.20 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $91.20 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $19.05 | Professional | 26 · Professional part | $12.59 | $15.49 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $102.33 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $117.49 | $158.49 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $15.49 | $15.85 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $141.25 | $162.18 |
HMSA Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $169.82 | $177.83 | $177.83 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $20.89 | $21.38 | $21.38 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $10.72 Median $77.62 Typical High $89.13 | Professional | 51 · Multiple procedures | $10.72 | $77.62 | $89.13 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $147.91 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | None | $165.96 | $165.96 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $16.60 | $16.60 | $18.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $147.91 | $147.91 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $158.49 | $158.49 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $15.85 | $15.85 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $141.25 | $141.25 | $162.18 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | None (both parts) | $144.54 | $144.54 | $147.91 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.62 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $128.82 | $128.82 | $128.82 |
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 $45.71 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $31.62 | Professional | 53 · Discontinued | $18.62 | $23.44 | $31.62 |
Where Hawaii sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$158
AK $245FL $81.28
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.