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 $77.62 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $77.62 | $89.13 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
HMSA Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $75.86 | $120.23 | $120.23 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
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 $91.20 Median $97.72 Typical High $112.20 | Professional | None | $91.20 | $97.72 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $42.66 | $45.71 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $48.98 | $52.48 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $83.18 | $109.65 | $112.20 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $50.12 | $51.29 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $44.67 | $60.26 | $61.66 |
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 $26.92 Median $33.11 Typical High $60.26 | Professional | 51 · Multiple procedures | $26.92 | $33.11 | $60.26 |
Where Hawaii sits
The same service costs 3.3 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
$110
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.