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 $40.74 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $40.74 | $50.12 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
HMSA Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $81.28 | Professional | None (both parts) | $48.98 | $70.79 | $81.28 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
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 $53.70 Median $57.54 Typical High $66.07 | Professional | None | $53.70 | $57.54 | $66.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | 26 · Professional part | $18.20 | $19.50 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $35.48 | $38.02 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $48.98 | $66.07 | $67.61 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $16.22 | $21.88 | $22.39 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $45.71 | Professional | TC · Technical part | $33.11 | $44.67 | $45.71 |
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 $16.22 Median $19.50 Typical High $35.48 | Professional | 51 · Multiple procedures | $16.22 | $19.50 | $35.48 |
Where Hawaii sits
The same service costs 3.6 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
$64.57
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.