How much rates vary
Facilitymedian $229 · 10th to 90th $76 to $2,138Professionalmedian $186 · 10th to 90th $40 to $417
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 $263.03 Median $5,128.61 Typical High $20,892.96 | Facility | None | $263.03 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $151.36 | $263.03 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $257.04 | $257.04 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $446.68 | Facility | None | $100.00 | $117.49 | $446.68 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $275.42 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $2,691.53 | Facility | None | $50.12 | $75.86 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $588.84 | Professional | None (both parts) | $134.90 | $173.78 | $588.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $74.13 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $74.13 | $169.82 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $35.48 | $169.82 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $194.98 Typical High $331.13 | Facility | None | $70.79 | $194.98 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $269.15 | Facility | None | $70.79 | $91.20 | $269.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $446.68 | Facility | None | $354.81 | $354.81 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $275.42 | $371.54 | $478.63 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $194.98 | $275.42 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $218.78 | $229.09 | $346.74 |
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 $41.69 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $213.80 | $234.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $190.55 | $194.98 | $194.98 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $691.83 Typical High $912.01 | Professional | 26 · Professional part | $53.70 | $691.83 | $912.01 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $1,148.15 | Professional | TC · Technical part | $218.78 | $363.08 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $467.74 | Professional | TC · Technical part | $87.10 | $123.03 | $467.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $77.62 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $295.12 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $204.17 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $56.23 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $165.96 | $169.82 | $269.15 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 43rd of 51
$186
AK $759TX $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.