How much rates vary
Professionalmedian $178 · 10th to 90th $170 to $229
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 $104.71 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $104.71 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $13.18 | $22.39 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $114.82 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
HMSA Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $199.53 | $199.53 | $229.09 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 26 · Professional part | $24.55 | $24.55 | $25.12 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $12.30 Median $89.13 Typical High $114.82 | Professional | 51 · Multiple procedures | $12.30 | $89.13 | $114.82 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $177.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | None | $144.54 | $169.82 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $26.30 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $144.54 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $177.83 | $177.83 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | TC · Technical part | $151.36 | $151.36 | $154.88 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
University Health Alliance 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 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $144.54 | $147.91 | $147.91 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $91.20 | Professional | 52 · Reduced service | $52.48 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $36.31 | Professional | 53 · Discontinued | $20.89 | $25.70 | $36.31 |
Where Hawaii sits
The same service costs 3.7 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· 19th of 51
$178
AK $363UT $97.72
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.