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 $4.57 Median $36.31 Typical High $74.13 | Professional | None | $4.57 | $36.31 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
HMSA Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $75.86 | Professional | None | $63.10 | $72.44 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $74.13 Typical High $93.33 | Professional | None | $5.62 | $74.13 | $93.33 |
United Setting Professional Modifier None Typical Low $7.24 Median $77.62 Typical High $77.62 | Professional | None | $7.24 | $77.62 | $77.62 |
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 53 · Discontinued Typical Low $0.85 Median $7.24 Typical High $11.75 | Professional | 53 · Discontinued | $0.85 | $7.24 | $11.75 |
Where Hawaii sits
The same service costs 7.6 times more in Washington than in Michigan. 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
$77.62
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.