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 $13.49 Median $16.22 Typical High $25.12 | Professional | None | $13.49 | $16.22 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $30.20 | Professional | None | $17.78 | $26.30 | $30.20 |
HMSA Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | None | $26.30 | $26.92 | $26.92 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 51 · Multiple procedures | $13.18 | $13.49 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | None | $27.54 | $27.54 | $30.20 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None | $26.30 | $26.30 | $30.20 |
University Health Alliance Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
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 $6.76 Median $8.71 Typical High $12.30 | Professional | 52 · Reduced service | $6.76 | $8.71 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.47 Typical High $5.01 | Professional | 53 · Discontinued | $2.69 | $3.47 | $5.01 |
Where Hawaii sits
The same service costs 2.6 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· 8th of 51
$26.30
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.