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 $27.54 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $27.54 | $38.90 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
HMSA Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $72.44 | $79.43 | $79.43 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | None | $37.15 | $39.81 | $44.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $14.13 | $15.85 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $29.51 | Professional | TC · Technical part | $23.99 | $25.70 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | None (both parts) | $36.31 | $37.15 | $40.74 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $15.14 | $16.60 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | TC · Technical part | $21.88 | $22.39 | $24.55 |
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 $8.51 Median $31.62 Typical High $39.81 | Professional | 51 · Multiple procedures | $8.51 | $31.62 | $39.81 |
Where Hawaii sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 24th of 51
$41.69
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.