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 $33.88 Median $51.29 Typical High $81.28 | Professional | None | $33.88 | $51.29 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
HMSA Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $91.20 | Professional | None | $47.86 | $79.43 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $77.62 | Professional | None | $31.62 | $57.54 | $77.62 |
United Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | None | $58.88 | $81.28 | $81.28 |
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 $15.85 Median $25.12 Typical High $40.74 | Professional | 52 · Reduced service | $15.85 | $25.12 | $40.74 |
Where Hawaii sits
The same service costs 2.5 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· 6th of 51
$70.79
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.