How much rates vary
Facilitymedian $794 · 10th to 90th $316 to $5,754Professionalmedian $389 · 10th to 90th $76 to $891
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 $616.60 Median $6,165.95 Typical High $20,892.96 | Facility | None | $616.60 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $354.81 | $616.60 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $1,412.54 | Facility | None | $295.12 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $831.76 Typical High $3,467.37 | Professional | None (both parts) | $616.60 | $831.76 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $1,288.25 | Professional | None (both parts) | $275.42 | $354.81 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $85.11 Median $218.78 Typical High $602.56 | Professional | None (both parts) | $85.11 | $218.78 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $72.44 | $363.08 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $363.08 Typical High $707.95 | Facility | None | $123.03 | $363.08 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,380.38 | Facility | None | $478.63 | $724.44 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $616.60 | $616.60 | $977.24 |
United Setting Facility Modifier None Typical Low $707.95 Median $977.24 Typical High $1,995.26 | Facility | None | $707.95 | $977.24 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $1,230.27 | Professional | None (both parts) | $323.59 | $537.03 | $1,230.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $407.38 | $467.74 | $891.25 |
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 $85.11 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $223.87 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $89.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $501.19 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $831.76 | Professional | 26 · Professional part | $125.89 | $173.78 | $831.76 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $660.69 Typical High $2,630.27 | Professional | TC · Technical part | $489.78 | $660.69 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $114.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $1,023.29 | Professional | TC · Technical part | $218.78 | $245.47 | $1,023.29 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $125.89 | $125.89 | $218.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $776.25 | Professional | TC · Technical part | $489.78 | $489.78 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $288.40 | Professional | 26 · Professional part | $100.00 | $131.83 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $407.38 Typical High $933.25 | Professional | TC · Technical part | $218.78 | $407.38 | $933.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $100.00 | $190.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $363.08 | $691.83 |
Where Washington sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 31st of 51
$398
AK $1,413KY $219
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.