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 $19.05 Median $24.55 Typical High $34.67 | Professional | None | $19.05 | $24.55 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $40.74 | Professional | None | $26.30 | $35.48 | $40.74 |
HMSA Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $38.90 | Professional | None | $31.62 | $34.67 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $38.90 | Professional | None | $21.88 | $29.51 | $38.90 |
United Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $40.74 | Professional | None | $29.51 | $35.48 | $40.74 |
University Health Alliance Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
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 $9.55 Median $12.02 Typical High $17.38 | Professional | 52 · Reduced service | $9.55 | $12.02 | $17.38 |
Where Hawaii sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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
$33.88
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.