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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier UN · 2 patients served Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | UN · 2 patients served | $31.62 | $33.11 | $33.11 |
HMSA Setting Professional Modifier UP · 3 patients served Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | UP · 3 patients served | $29.51 | $30.90 | $30.90 |
HMSA Setting Professional Modifier UQ · 4 patients served Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | UQ · 4 patients served | $28.18 | $29.51 | $29.51 |
HMSA Setting Professional Modifier UR · 5 patients served Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | UR · 5 patients served | $26.30 | $27.54 | $27.54 |
HMSA Setting Professional Modifier US · 6+ patients served Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | US · 6+ patients served | $24.55 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier UN · 2 patients served Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | UN · 2 patients served | $30.90 | $30.90 | $30.90 |
Kaiser Permanente Setting Professional Modifier UP · 3 patients served Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UP · 3 patients served | $29.51 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier UQ · 4 patients served Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | UQ · 4 patients served | $28.18 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier UR · 5 patients served Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | UR · 5 patients served | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier US · 6+ patients served Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | US · 6+ patients served | $24.55 | $24.55 | $24.55 |
University Health Alliance Setting Professional Modifier UN · 2 patients served Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UN · 2 patients served | $18.62 | $18.62 | $18.62 |
7 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 None Typical Low $17.78 Median $19.50 Typical High $26.30 | Professional | None | $17.78 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $28.18 | Professional | None | $12.30 | $19.95 | $28.18 |
HMSA Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $36.31 | Professional | None | $28.18 | $32.36 | $36.31 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $23.99 | Professional | None | $16.60 | $16.60 | $23.99 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where Hawaii sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 5th of 51
$31.62
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.