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 $16.22 Median $19.50 Typical High $30.90 | Professional | None | $16.22 | $19.50 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $44.67 | Professional | None | $19.05 | $28.18 | $44.67 |
HMSA Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $56.23 | Professional | None | $28.84 | $30.20 | $56.23 |
HMSA Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | HN · Bachelor's level | $25.12 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $21.88 Typical High $29.51 | Professional | None | $6.31 | $21.88 | $29.51 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | HN · Bachelor's level | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | None | $51.29 | $57.54 | $57.54 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
University Health Alliance Setting Professional Modifier HN · Bachelor's level Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | HN · Bachelor's level | $22.39 | $22.39 | $22.39 |
3 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | HO · Master's level | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HO · Master's level | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HP · Doctoral level | $17.38 | $17.38 | $17.38 |
Where Hawaii sits
The same service costs 4.7 times more in Wyoming 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· 18th of 51
$28.84
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.