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 $1.70 Median $2.09 Typical High $2.69 | Professional | None | $1.70 | $2.09 | $2.69 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.57 Typical High $5.01 | Professional | None | $2.19 | $2.57 | $5.01 |
HMSA Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $3.24 | Professional | None | $2.82 | $2.95 | $3.24 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1.41 Median $1.48 Typical High $1.62 | Professional | 51 · Multiple procedures | $1.41 | $1.48 | $1.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.04 Median $2.69 Typical High $2.69 | Professional | None | $2.04 | $2.69 | $2.69 |
United Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $3.02 | Professional | None | $2.34 | $2.34 | $3.02 |
University Health Alliance Setting Professional Modifier None Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | None | $2.51 | $2.57 | $2.57 |
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 $0.93 Median $1.12 Typical High $1.35 | Professional | 52 · Reduced service | $0.93 | $1.12 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.46 Typical High $0.54 | Professional | 53 · Discontinued | $0.37 | $0.46 | $0.54 |
Where Hawaii sits
The same service costs 2.2 times more in North Dakota 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· 7th of 51
$2.82
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.