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 (both parts) Typical Low $35.48 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $35.48 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $12.59 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $29.51 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | None | $58.88 | $58.88 | $74.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $14.13 | $14.13 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $44.67 | $44.67 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $54.95 | $60.26 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $40.74 | $44.67 | $44.67 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $51.29 | $52.48 | $52.48 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $36.31 | $37.15 | $37.15 |
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 $20.42 Typical High $28.18 | Professional | 52 · Reduced service | $17.78 | $20.42 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.13 Typical High $11.22 | Professional | 53 · Discontinued | $7.08 | $8.13 | $11.22 |
Where Hawaii sits
The same service costs 2.9 times more in Alaska 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· 15th of 51
$60.26
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.