How much rates vary
Facilitymedian $347 · 10th to 90th $141 to $1,000Professionalmedian $309 · 10th to 90th $68 to $661
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 $524.81 Median $6,165.95 Typical High $20,892.96 | Facility | None | $524.81 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $316.23 | $426.58 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $1,380.38 | Facility | None | $204.17 | $645.65 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,995.26 Typical High $2,344.23 | Professional | None (both parts) | $416.87 | $1,995.26 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $630.96 | Facility | None | $186.21 | $354.81 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $316.23 | $398.11 | $933.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $676.08 | Professional | None (both parts) | $162.18 | $295.12 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $66.07 | $275.42 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $549.54 | Facility | None | $147.91 | $371.54 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $295.12 | Facility | None | $120.23 | $169.82 | $295.12 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
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 $416.87 Median $588.84 Typical High $776.25 | Professional | None (both parts) | $416.87 | $588.84 | $776.25 |
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 $346.74 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $346.74 | $501.19 | $851.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $380.19 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $380.19 | $398.11 | $602.56 |
17 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 $87.10 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $323.59 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $691.83 Typical High $707.95 | Professional | 26 · Professional part | $112.20 | $691.83 | $707.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,513.56 Typical High $1,621.81 | Professional | TC · Technical part | $309.03 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $125.89 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $213.80 | $281.84 | $676.08 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $162.18 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $549.54 | Professional | TC · Technical part | $309.03 | $426.58 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $141.25 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $245.47 | $354.81 | $602.56 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $120.23 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $263.03 | $275.42 | $436.52 |
Where Washington sits
The same service costs 4.8 times more in Alaska 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· 42nd of 51
$316
AK $1,000UT $209
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.