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 $23.99 Median $31.62 Typical High $41.69 | Professional | None | $23.99 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $48.98 | Professional | None | $35.48 | $42.66 | $48.98 |
HMSA Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | None | $43.65 | $51.29 | $51.29 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 51 · Multiple procedures | $24.55 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | None | $44.67 | $44.67 | $48.98 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
University Health Alliance Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $12.02 Median $15.85 Typical High $20.42 | Professional | 52 · Reduced service | $12.02 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.31 Typical High $8.32 | Professional | 53 · Discontinued | $4.79 | $6.31 | $8.32 |
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
$43.65
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.