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 Typical Low $138.04 Median $177.83 Typical High $269.15 | Professional | None | $138.04 | $177.83 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
HMSA Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $288.40 | Professional | None | $213.80 | $245.47 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $218.78 | Professional | None | $147.91 | $186.21 | $218.78 |
United Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $208.93 | Professional | None | $173.78 | $199.53 | $208.93 |
University Health Alliance Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $190.55 | Professional | None | $138.04 | $190.55 | $190.55 |
1 more rate 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 51 · Multiple procedures | $107.15 | $107.15 | $125.89 |
Where Hawaii sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$200
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.