How much rates vary
Professionalmedian $52 · 10th to 90th $49 to $95
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 $37.15 Median $56.23 Typical High $95.50 | Professional | None (both parts) | $37.15 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $9.55 | $12.88 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $43.65 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
HMSA Setting Professional Modifier None (both parts) Typical Low $23.44 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $23.44 | $95.50 | $95.50 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $19.95 | $19.95 | $20.42 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $10.00 Median $38.02 Typical High $47.86 | Professional | 51 · Multiple procedures | $10.00 | $38.02 | $47.86 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | None | $52.48 | $52.48 | $67.61 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $14.79 | Professional | 26 · Professional part | $11.75 | $11.75 | $14.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $40.74 | $40.74 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $51.29 | Professional | None (both parts) | $37.15 | $50.12 | $51.29 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $9.12 | $12.30 | $12.30 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $38.90 | Professional | TC · Technical part | $28.18 | $38.02 | $38.90 |
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 $17.78 Median $23.44 Typical High $37.15 | Professional | 52 · Reduced service | $17.78 | $23.44 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $14.79 | Professional | 53 · Discontinued | $7.24 | $9.33 | $14.79 |
Where Hawaii sits
The same service costs 3.3 times more in Minnesota 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· 33rd of 51
$52.48
MN $105UT $31.62
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.