How much rates vary
Facilitymedian $141 · 10th to 90th $50 to $1,096Professionalmedian $117 · 10th to 90th $27 to $245
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 $104.71 Median $104.71 Typical High $173.78 | Facility | None | $104.71 | $104.71 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $87.10 | $104.71 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $794.33 Typical High $1,659.59 | Facility | None | $77.62 | $794.33 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $112.20 | $616.60 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $630.96 | Facility | None | $74.13 | $141.25 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $100.00 | $123.03 | $251.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $61.66 | $102.33 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $25.12 | $112.20 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $165.96 | Facility | None | $56.23 | $85.11 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $38.02 Median $52.48 Typical High $107.15 | Facility | None | $38.02 | $52.48 | $107.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,659.59 | Facility | None | $575.44 | $870.96 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $112.20 | $169.82 | $234.42 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,230.27 | Facility | None | $134.90 | $346.74 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $100.00 | $144.54 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $141.25 | $147.91 | $229.09 |
19 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 $40.74 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $50.12 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $316.23 Typical High $446.68 | Professional | 26 · Professional part | $61.66 | $316.23 | $446.68 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $50.12 | $302.00 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $54.95 | $125.89 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $91.20 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $79.43 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $77.62 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $41.69 | $67.61 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $67.61 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $81.28 | $125.89 |
Where Washington sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 27th of 51
$117
AK $331AL $56.23
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.