How much rates vary
Professionalmedian $12 · 10th to 90th $11 to $14
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 $4.07 Median $14.13 Typical High $18.20 | Professional | None | $4.07 | $14.13 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $10.00 Typical High $16.98 | Professional | None | $5.25 | $10.00 | $16.98 |
HMSA Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $13.49 | Professional | None | $10.96 | $11.75 | $13.49 |
HMSA Setting Professional Modifier UN · 2 patients served Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | UN · 2 patients served | $13.18 | $13.80 | $13.80 |
HMSA Setting Professional Modifier UP · 3 patients served Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | UP · 3 patients served | $12.02 | $12.59 | $12.59 |
HMSA Setting Professional Modifier UQ · 4 patients served Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | UQ · 4 patients served | $11.22 | $11.22 | $11.75 |
HMSA Setting Professional Modifier UR · 5 patients served Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | UR · 5 patients served | $10.00 | $10.72 | $10.72 |
HMSA Setting Professional Modifier US · 6+ patients served Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | US · 6+ patients served | $9.12 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier UN · 2 patients served Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | UN · 2 patients served | $12.59 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier UP · 3 patients served Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UP · 3 patients served | $11.48 | $11.48 | $11.48 |
Kaiser Permanente Setting Professional Modifier UQ · 4 patients served Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | UQ · 4 patients served | $10.47 | $10.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier UR · 5 patients served Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | UR · 5 patients served | $9.55 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier US · 6+ patients served Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | US · 6+ patients served | $8.51 | $8.51 | $8.51 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
University Health Alliance Setting Professional Modifier UN · 2 patients served Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | UN · 2 patients served | $15.14 | $15.14 | $15.14 |
4 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
Where Hawaii sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 27th of 51
$11.75
DC $21.88AL $2.00
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.