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 (both parts) Typical Low $107.15 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $107.15 | $134.90 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
HMSA Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $83.18 | $151.36 | $151.36 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $154.88 | Professional | None | $125.89 | $138.04 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $69.18 | Professional | 26 · Professional part | $56.23 | $60.26 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $75.86 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $138.04 | $141.25 | $154.88 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $66.07 | $67.61 | $74.13 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $70.79 | $72.44 | $79.43 |
1 more rate 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $39.81 Typical High $75.86 | Professional | 51 · Multiple procedures | $36.31 | $39.81 | $75.86 |
Where Hawaii sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 20th of 51
$148
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.