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 $46.77 Median $58.88 Typical High $77.62 | Professional | None | $46.77 | $58.88 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
HMSA Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $85.11 | Professional | None | $66.07 | $77.62 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | None | $56.23 | $67.61 | $85.11 |
United Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | None | $64.57 | $79.43 | $79.43 |
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 $23.44 Median $28.84 Typical High $39.81 | Professional | 52 · Reduced service | $23.44 | $28.84 | $39.81 |
Where Hawaii sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 17th 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.