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 $47.86 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $47.86 | $60.26 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
HMSA Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $95.50 | Professional | None (both parts) | $53.70 | $83.18 | $95.50 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $81.28 | Professional | None | $66.07 | $70.79 | $81.28 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $28.18 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $39.81 | $42.66 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | None (both parts) | $79.43 | $79.43 | $81.28 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | TC · Technical part | $48.98 | $48.98 | $50.12 |
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 $19.50 Median $21.88 Typical High $41.69 | Professional | 51 · Multiple procedures | $19.50 | $21.88 | $41.69 |
Where Hawaii sits
The same service costs 3.5 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
$77.62
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.