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 $91.20 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $91.20 | $104.71 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
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 $131.83 Typical High $131.83 | Professional | None (both parts) | $61.66 | $131.83 | $131.83 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
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 $104.71 Median $114.82 Typical High $128.82 | Professional | None | $104.71 | $114.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $57.54 | $61.66 | $70.79 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
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 $95.50 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $95.50 | $128.82 | $128.82 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $67.61 | $69.18 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $44.67 | $60.26 | $60.26 |
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 $38.90 Typical High $66.07 | Professional | 51 · Multiple procedures | $26.92 | $38.90 | $66.07 |
Where Hawaii sits
The same service costs 3.2 times more in Alaska 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· 17th of 51
$126
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.