How much rates vary
Facilitymedian $302 · 10th to 90th $129 to $1,000Professionalmedian $204 · 10th to 90th $45 to $437
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 $316.23 Median $5,128.61 Typical High $20,892.96 | Facility | None | $316.23 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $223.87 | $316.23 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $1,380.38 | Facility | None | $147.91 | $645.65 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $316.23 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $630.96 | Facility | None | $165.96 | $316.23 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $707.95 | Professional | None (both parts) | $223.87 | $281.84 | $707.95 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $141.25 | $234.42 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $41.69 | $186.21 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $407.38 | Facility | None | $125.89 | $239.88 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $269.15 | Facility | None | $109.65 | $147.91 | $269.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $1,380.38 | Facility | None | $549.54 | $724.44 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $316.23 | $446.68 | $588.84 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,023.29 | Facility | None | $134.90 | $346.74 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $251.19 | $363.08 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $275.42 | $288.40 | $436.52 |
16 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 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $218.78 | $245.47 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $588.84 Typical High $645.65 | Professional | 26 · Professional part | $102.33 | $588.84 | $645.65 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $218.78 | $371.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $112.20 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $190.55 | $478.63 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $147.91 | $199.53 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $302.00 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $128.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $229.09 | $407.38 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $107.15 | $154.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $181.97 | $281.84 |
Where Washington sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 46th of 51
$209
WI $708UT $135
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.