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 $28.84 Median $42.66 Typical High $63.10 | Professional | None | $28.84 | $42.66 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
HMSA Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | None | $58.88 | $66.07 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $47.86 Typical High $64.57 | Professional | None | $21.38 | $47.86 | $64.57 |
United Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $67.61 | Professional | None | $48.98 | $67.61 | $67.61 |
University Health Alliance Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $63.10 | Professional | None | $45.71 | $61.66 | $63.10 |
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 $14.45 Median $21.38 Typical High $31.62 | Professional | 52 · Reduced service | $14.45 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.51 Typical High $12.59 | Professional | 53 · Discontinued | $5.75 | $8.51 | $12.59 |
Where Hawaii sits
The same service costs 4.5 times more in Alaska than in Indiana. 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· 3rd of 51
$64.57
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.