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 $323.59 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $323.59 | $467.74 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
HMSA Setting Professional Modifier None (both parts) Typical Low $380.19 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $380.19 | $707.95 | $707.95 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
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 $346.74 Median $371.54 Typical High $416.87 | Professional | None | $346.74 | $371.54 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 26 · Professional part | $245.47 | $269.15 | $302.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $95.50 | $104.71 | $117.49 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $407.38 | $407.38 | $446.68 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $302.00 Typical High $331.13 | Professional | 26 · Professional part | $295.12 | $302.00 | $331.13 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $112.20 | $123.03 |
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 $165.96 Median $190.55 Typical High $354.81 | Professional | 51 · Multiple procedures | $165.96 | $190.55 | $354.81 |
Where Hawaii sits
The same service costs 3.4 times more in Wisconsin 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· 32nd of 51
$407
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.