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 $25.70 Median $30.20 Typical High $109.65 | Professional | None (both parts) | $25.70 | $30.20 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
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 $52.48 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $52.48 | $72.44 | $83.18 |
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 $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 $67.61 Median $72.44 Typical High $83.18 | Professional | None | $67.61 | $72.44 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $27.54 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $45.71 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
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 $23.99 Median $32.36 Typical High $33.11 | Professional | None (both parts) | $23.99 | $32.36 | $33.11 |
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 $22.39 Typical High $36.31 | Professional | 51 · Multiple procedures | $13.80 | $22.39 | $36.31 |
Where Hawaii sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 9th of 51
$72.44
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.