How much rates vary
Facilitymedian $68 · 10th to 90th $23 to $794Professionalmedian $69 · 10th to 90th $18 to $155
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 $56.23 Median $64.57 Typical High $954.99 | Facility | None | $56.23 | $64.57 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $48.98 | $56.23 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $43.65 | $81.28 | $102.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $524.81 Typical High $1,096.48 | Facility | None | $38.02 | $524.81 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $66.07 | $346.74 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $891.25 | Facility | None | $26.30 | $35.48 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $57.54 | $64.57 | $144.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $26.92 | $53.70 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.60 Median $70.79 Typical High $154.88 | Professional | None (both parts) | $16.60 | $70.79 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $95.50 | Facility | None | $33.88 | $54.95 | $95.50 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $23.99 Typical High $56.23 | Facility | None | $16.98 | $23.99 | $56.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $66.07 | $95.50 | $131.83 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $831.76 | Facility | None | $134.90 | $346.74 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $57.54 | $81.28 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $107.15 | Professional | None (both parts) | $69.18 | $72.44 | $107.15 |
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 $28.18 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.72 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $23.99 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $46.77 | $57.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $38.90 | $208.93 | $257.04 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $26.92 | $144.54 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $41.69 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $25.12 | $63.10 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Premera BCBS 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 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $57.54 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $39.81 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $30.90 | $63.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $40.74 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $29.51 | $30.90 | $48.98 |
Where Washington sits
The same service costs 6.5 times more in Minnesota 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· 20th of 51
$69.18
MN $295KY $45.71
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.