How much rates vary
Professionalmedian $83 · 10th to 90th $78 to $257
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 $52.48 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $52.48 | $64.57 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $29.51 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $34.67 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
HMSA Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $245.47 | $257.04 | $257.04 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.90 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $109.65 Typical High $128.82 | Professional | 51 · Multiple procedures | $19.05 | $109.65 | $128.82 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | None | $83.18 | $83.18 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $32.36 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $51.29 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $79.43 | $83.18 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $44.67 | $50.12 | $50.12 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $77.62 | $79.43 | $79.43 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.11 | $33.88 | $33.88 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $44.67 | $45.71 | $45.71 |
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 $26.30 Median $30.90 Typical High $41.69 | Professional | 52 · Reduced service | $26.30 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $16.60 | Professional | 53 · Discontinued | $10.47 | $12.30 | $16.60 |
Where Hawaii sits
The same service costs 3.6 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· 19th of 51
$83.18
MN $141TX $38.90
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.