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 $7.76 Median $12.59 Typical High $22.39 | Professional | None | $7.76 | $12.59 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
HMSA Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $26.30 | Professional | None | $19.95 | $23.44 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $24.55 | Professional | None | $8.91 | $19.05 | $24.55 |
United Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $23.44 | Professional | None | $14.79 | $23.44 | $23.44 |
University Health Alliance Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
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 $3.80 Median $5.62 Typical High $10.00 | Professional | 52 · Reduced service | $3.80 | $5.62 | $10.00 |
Where Hawaii sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 2nd of 51
$23.44
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.