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 $72.44 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $72.44 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
HMSA Setting Professional Modifier None (both parts) Typical Low $57.54 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $57.54 | $102.33 | $102.33 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $95.50 | Professional | None | $77.62 | $85.11 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $39.81 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $41.69 | $44.67 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $70.79 | $95.50 | $95.50 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $43.65 | $44.67 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $38.02 | $51.29 | $51.29 |
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 $22.91 Median $28.84 Typical High $51.29 | Professional | 51 · Multiple procedures | $22.91 | $28.84 | $51.29 |
Where Hawaii sits
The same service costs 3.4 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
$93.33
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.