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 Typical Low $31.62 Median $40.74 Typical High $54.95 | Professional | None | $31.62 | $40.74 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $67.61 | Professional | None | $43.65 | $57.54 | $67.61 |
HMSA Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | None | $57.54 | $67.61 | $67.61 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 51 · Multiple procedures | $32.36 | $33.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None | $61.66 | $61.66 | $66.07 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None | $57.54 | $57.54 | $67.61 |
University Health Alliance Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
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 $16.60 Median $20.42 Typical High $27.54 | Professional | 52 · Reduced service | $16.60 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $10.96 | Professional | 53 · Discontinued | $6.76 | $8.13 | $10.96 |
Where Hawaii sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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
$57.54
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.