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 $7.94 Median $10.23 Typical High $13.18 | Professional | None | $7.94 | $10.23 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $15.49 | Professional | None | $11.22 | $13.49 | $15.49 |
HMSA Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $14.45 | Professional | None | $8.32 | $11.22 | $14.45 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $15.49 | Professional | None | $12.02 | $15.49 | $15.49 |
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 $3.89 Median $5.13 Typical High $6.61 | Professional | 52 · Reduced service | $3.89 | $5.13 | $6.61 |
Where Hawaii sits
The same service costs 6.3 times more in Alaska than in Arizona. 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
$43.65
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.