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 $151.36 Median $208.93 Typical High $323.59 | Professional | None | $151.36 | $208.93 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | None | $288.40 | $354.81 | $354.81 |
HMSA Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $323.59 | Professional | None | $251.19 | $295.12 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $371.54 | Professional | None | $186.21 | $288.40 | $371.54 |
United Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $354.81 | Professional | None | $239.88 | $354.81 | $354.81 |
University Health Alliance Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $346.74 | Professional | None | $257.04 | $346.74 | $346.74 |
1 more rate 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 $74.13 Median $100.00 Typical High $131.83 | Professional | 52 · Reduced service | $74.13 | $100.00 | $131.83 |
Where Hawaii sits
The same service costs 2.7 times more in Alaska 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· 8th of 51
$324
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.