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 $20.42 Median $26.92 Typical High $34.67 | Professional | None | $20.42 | $26.92 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
HMSA Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $70.79 | Professional | None | $54.95 | $63.10 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $37.15 | Professional | None | $24.55 | $29.51 | $37.15 |
United Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | None | $28.18 | $34.67 | $34.67 |
University Health Alliance Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 $9.77 Median $12.88 Typical High $15.49 | Professional | 52 · Reduced service | $9.77 | $12.88 | $15.49 |
Where Hawaii sits
The same service costs 3.0 times more in North Carolina than in New York. 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· 12th of 51
$34.67
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.