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 $25.70 Median $34.67 Typical High $50.12 | Professional | None | $25.70 | $34.67 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | None | $41.69 | $50.12 | $50.12 |
HMSA Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $52.48 | Professional | None | $40.74 | $50.12 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $52.48 | Professional | None | $28.84 | $41.69 | $52.48 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $50.12 | Professional | None | $38.02 | $50.12 | $50.12 |
University Health Alliance Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $50.12 | Professional | None | $37.15 | $50.12 | $50.12 |
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 $12.30 Median $16.22 Typical High $21.38 | Professional | 52 · Reduced service | $12.30 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.46 Typical High $8.51 | Professional | 53 · Discontinued | $4.90 | $6.46 | $8.51 |
Where Hawaii sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 9th of 51
$50.12
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.