How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $2,818.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $2,818.38 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $426.58 | $537.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $831.76 | Professional | None (both parts) | $269.15 | $407.38 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
HMSA Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $446.68 | $630.96 | $630.96 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | None | $186.21 | $204.17 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $173.78 | $186.21 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | TC · Technical part | $14.13 | $15.14 | $17.38 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $239.88 | $245.47 | $269.15 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 26 · Professional part | $208.93 | $208.93 | $229.09 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | TC · Technical part | $14.79 | $15.14 | $16.60 |
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 $120.23 Median $190.55 Typical High $316.23 | Professional | 51 · Multiple procedures | $120.23 | $190.55 | $316.23 |
Where Hawaii sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 45th of 51
$447
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.