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 $112.20 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $112.20 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $117.49 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $173.78 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $331.13 | $398.11 | $707.95 |
HMSA Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None (both parts) | $44.67 | $44.67 | $45.71 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $389.05 | $467.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $147.91 | $190.55 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $223.87 | $275.42 | $275.42 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
3 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 $56.23 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $56.23 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $22.39 | $56.23 | $70.79 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 51 · Multiple procedures | $19.05 | $19.05 | $21.88 |
Where Hawaii sits
The same service costs 9.8 times more in Alaska than in New York. 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· 6th of 51
$468
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.