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 $25.12 Median $34.67 Typical High $51.29 | Professional | None | $25.12 | $34.67 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $63.10 | Professional | None | $41.69 | $54.95 | $63.10 |
HMSA Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | None | $53.70 | $63.10 | $63.10 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 51 · Multiple procedures | $30.20 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | None | $52.48 | $52.48 | $57.54 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None | $54.95 | $54.95 | $63.10 |
University Health Alliance Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $12.59 Median $17.38 Typical High $25.70 | Professional | 52 · Reduced service | $12.59 | $17.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.92 Typical High $10.23 | Professional | 53 · Discontinued | $5.01 | $6.92 | $10.23 |
Where Hawaii sits
The same service costs 3.5 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· 9th of 51
$54.95
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.