How much rates vary
Facilitymedian $132 · 10th to 90th $79 to $209Professionalmedian $102 · 10th to 90th $65 to $537
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 Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $245.47 | Facility | None | $56.23 | $109.65 | $245.47 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $89.13 | $213.80 | $630.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $323.59 Typical High $371.54 | Professional | 26 · Professional part | $53.70 | $323.59 | $371.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $36.31 | $213.80 | $269.15 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $107.15 | $141.25 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $147.91 | Facility | None | $104.71 | $138.04 | $147.91 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $102.33 | Facility | None | $79.43 | $79.43 | $102.33 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $89.13 | $144.54 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $85.11 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $58.88 | $85.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $229.09 | Professional | None (both parts) | $64.57 | $89.13 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $134.90 | Professional | 26 · Professional part | $38.02 | $53.70 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $93.33 | Professional | TC · Technical part | $26.30 | $36.31 | $93.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
2 more rates 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 $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.13 |
Where Washington sits
The same service costs 14.8 times more in Texas than in Arkansas. 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.
Washington· 8th of 51
$102
TX $537AR $36.31
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.