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 $114.82 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $114.82 | $199.53 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
HMSA Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $602.56 | $602.56 | $691.83 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $186.21 | Professional | None | $154.88 | $165.96 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $42.66 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $114.82 | $123.03 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $154.88 | $158.49 | $173.78 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $44.67 | $44.67 | $48.98 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $112.20 | $112.20 | $123.03 |
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 $25.70 Median $269.15 Typical High $302.00 | Professional | 51 · Multiple procedures | $25.70 | $269.15 | $302.00 |
Where Hawaii sits
The same service costs 3.2 times more in Kansas 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· 29th of 51
$174
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.