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 $28.18 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $28.18 | $46.77 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
HMSA Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $44.67 | $57.54 | $66.07 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $61.66 | Professional | None | $50.12 | $53.70 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $18.62 | Professional | 26 · Professional part | $15.14 | $16.22 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $37.15 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None (both parts) | $61.66 | $61.66 | $63.10 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | TC · Technical part | $43.65 | $43.65 | $44.67 |
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 $9.77 Median $19.05 Typical High $28.84 | Professional | 51 · Multiple procedures | $9.77 | $19.05 | $28.84 |
Where Hawaii sits
The same service costs 3.7 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· 15th of 51
$58.88
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.