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 $32.36 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $32.36 | $53.70 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Cigna 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 |
HMSA Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $50.12 | $69.18 | $79.43 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $72.44 | Professional | None | $58.88 | $63.10 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $22.91 | $26.30 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $45.71 | Professional | TC · Technical part | $37.15 | $39.81 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
United 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 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $70.79 | $70.79 | $72.44 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.70 |
University Health Alliance 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 |
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 $13.80 Median $20.42 Typical High $34.67 | Professional | 51 · Multiple procedures | $13.80 | $20.42 | $34.67 |
Where Hawaii sits
The same service costs 3.9 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· 14th of 51
$69.18
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.