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 $29.51 Median $41.69 Typical High $61.66 | Professional | None | $29.51 | $41.69 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $69.18 | Professional | None | $53.70 | $60.26 | $69.18 |
HMSA Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | None | $60.26 | $72.44 | $72.44 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 51 · Multiple procedures | $33.88 | $35.48 | $35.48 |
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 $60.26 Median $60.26 Typical High $69.18 | Professional | None | $60.26 | $60.26 | $69.18 |
University Health Alliance Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
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 $14.79 Median $20.89 Typical High $30.90 | Professional | 52 · Reduced service | $14.79 | $20.89 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.32 Typical High $12.30 | Professional | 53 · Discontinued | $6.03 | $8.32 | $12.30 |
Where Hawaii sits
The same service costs 2.9 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· 11th of 51
$60.26
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.