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 $66.07 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $66.07 | $79.43 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
HMSA Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $61.66 | $109.65 | $112.20 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $107.15 | Professional | None | $87.10 | $93.33 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $38.90 | $41.69 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $58.88 | Professional | TC · Technical part | $47.86 | $52.48 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $104.71 | $104.71 | $117.49 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 26 · Professional part | $45.71 | $45.71 | $50.12 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $58.88 | $66.07 |
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 $26.30 Median $28.18 Typical High $54.95 | Professional | 51 · Multiple procedures | $26.30 | $28.18 | $54.95 |
Where Hawaii sits
The same service costs 3.4 times more in Alaska than in New York. 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· 17th of 51
$102
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.