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 $21.38 Median $25.12 Typical High $31.62 | Professional | None | $21.38 | $25.12 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
HMSA Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | None | $33.88 | $33.88 | $38.90 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $17.38 Typical High $19.50 | Professional | 51 · Multiple procedures | $16.60 | $17.38 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | None | $28.18 | $28.18 | $35.48 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | None | $29.51 | $30.20 | $30.20 |
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 $10.72 Median $12.30 Typical High $15.85 | Professional | 52 · Reduced service | $10.72 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.01 Typical High $6.31 | Professional | 53 · Discontinued | $4.27 | $5.01 | $6.31 |
Where Hawaii sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 29th of 51
$29.51
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.