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 $21.38 Typical High $22.91 | Professional | None | $13.49 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
HMSA Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.39 | Professional | None | $19.50 | $19.50 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $16.22 | Professional | None | $13.49 | $14.45 | $16.22 |
United Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
University Health Alliance Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $19.95 | Professional | None | $14.79 | $19.95 | $19.95 |
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 $9.77 Median $9.77 Typical High $11.22 | Professional | 51 · Multiple procedures | $9.77 | $9.77 | $11.22 |
Where Hawaii sits
The same service costs 3.0 times more in Minnesota 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· 28th of 51
$16.60
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.