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 $47.86 Median $57.54 Typical High $81.28 | Professional | None | $47.86 | $57.54 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
HMSA Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $85.11 | Professional | None | $67.61 | $77.62 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $67.61 | Professional | None | $46.77 | $57.54 | $67.61 |
United Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | None | $56.23 | $63.10 | $66.07 |
University Health Alliance Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | None | $47.86 | $64.57 | $64.57 |
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 $35.48 Median $35.48 Typical High $41.69 | Professional | 51 · Multiple procedures | $35.48 | $35.48 | $41.69 |
Where Hawaii sits
The same service costs 2.7 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· 21st of 51
$63.10
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.