How much rates vary
Professionalmedian $36 · 10th to 90th $36 to $55
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 $25.12 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $25.12 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $25.70 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
HMSA Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $54.95 | $54.95 | $63.10 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.96 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $5.37 Median $21.88 Typical High $27.54 | Professional | 51 · Multiple procedures | $5.37 | $21.88 | $27.54 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $12.02 | Professional | 26 · Professional part | $9.33 | $9.33 | $12.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | TC · Technical part | $26.30 | $26.30 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $33.88 | $45.71 | $46.77 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $10.23 | Professional | 26 · Professional part | $7.59 | $10.00 | $10.23 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $36.31 | Professional | TC · Technical part | $26.30 | $35.48 | $36.31 |
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 $12.30 Median $14.45 Typical High $21.38 | Professional | 52 · Reduced service | $12.30 | $14.45 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $8.51 | Professional | 53 · Discontinued | $5.01 | $5.75 | $8.51 |
Where Hawaii sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 27th of 51
$36.31
MN $67.61TX $26.92
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.