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 $851.14 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $851.14 | $1,071.52 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,412.54 Typical High $1,862.09 | Professional | None (both parts) | $1,122.02 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
HMSA Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $229.09 | $229.09 | $309.03 |
HMSA Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 26 · Professional part | $257.04 | $257.04 | $269.15 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $128.82 Typical High $134.90 | Professional | 51 · Multiple procedures | $114.82 | $128.82 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $263.03 Typical High $309.03 | Professional | 26 · Professional part | $239.88 | $263.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $239.88 | $245.47 | $245.47 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $794.33 | Professional | TC · Technical part | $575.44 | $575.44 | $794.33 |
Where Hawaii sits
The same service costs 11.2 times more in Alaska 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· 50th of 51
$295
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.