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 $38.02 Median $61.66 Typical High $91.20 | Professional | None | $38.02 | $61.66 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $112.20 | Professional | None | $47.86 | $95.50 | $112.20 |
HMSA Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | None | $97.72 | $114.82 | $114.82 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | 51 · Multiple procedures | $54.95 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
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 $19.05 Median $30.90 Typical High $45.71 | Professional | 52 · Reduced service | $19.05 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.59 Typical High $18.20 | Professional | 53 · Discontinued | $7.59 | $12.59 | $18.20 |
Where Hawaii sits
The same service costs 4.5 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· 7th of 51
$97.72
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.