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 Typical Low $25.70 Median $30.20 Typical High $38.90 | Professional | None | $25.70 | $30.20 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
HMSA Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $38.02 | Professional | None | $30.90 | $33.88 | $38.02 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
University Health Alliance Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | None | $36.31 | $37.15 | $40.74 |
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 $33.88 Median $33.88 Typical High $38.90 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $38.90 |
Where Hawaii sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 24th of 51
$36.31
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.