How much rates vary
Professionalmedian $117 · 10th to 90th $83 to $126
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 $54.95 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $54.95 | $70.79 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $19.95 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $38.90 | $51.29 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
HMSA Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $104.71 | $104.71 | $125.89 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.30 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $12.59 Median $45.71 Typical High $61.66 | Professional | 51 · Multiple procedures | $12.59 | $45.71 | $61.66 |
HMSA Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $79.43 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | None | $138.04 | $138.04 | $177.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $26.30 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $112.20 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $100.00 | $117.49 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $23.44 | $24.55 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $75.86 | $93.33 | $93.33 |
University Health Alliance 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 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $61.66 | $63.10 | $63.10 |
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 $27.54 Median $35.48 Typical High $48.98 | Professional | 52 · Reduced service | $27.54 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.80 Typical High $19.50 | Professional | 53 · Discontinued | $10.96 | $13.80 | $19.50 |
Where Hawaii sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 12th of 51
$117
ND $186KY $53.70
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.