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 $114.82 Median $162.18 Typical High $251.19 | Professional | None | $114.82 | $162.18 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $269.15 | Professional | None | $134.90 | $194.98 | $269.15 |
HMSA Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $275.42 | Professional | None | $208.93 | $234.42 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $257.04 | Professional | None | $102.33 | $194.98 | $257.04 |
United Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $269.15 | Professional | None | $194.98 | $269.15 | $269.15 |
University Health Alliance Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $257.04 | Professional | None | $169.82 | $190.55 | $257.04 |
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 $57.54 Median $81.28 Typical High $125.89 | Professional | 52 · Reduced service | $57.54 | $81.28 | $125.89 |
Where Hawaii sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$234
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.