How much rates vary
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $53.70 | Professional | None (both parts) | $38.90 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $12.02 | Professional | 26 · Professional part | $8.91 | $10.00 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $29.51 | $36.31 | $40.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $309.03 Typical High $630.96 | Facility | None | $28.84 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $53.70 | $251.19 | $338.84 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $12.02 | $54.95 | $72.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $41.69 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $38.90 | $56.23 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $12.88 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $87.10 | Professional | TC · Technical part | $28.84 | $40.74 | $87.10 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $13.18 Median $41.69 Typical High $87.10 | Professional | None (both parts) | $13.18 | $41.69 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.30 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $10.47 Median $41.69 Typical High $72.44 | Facility | None | $10.47 | $41.69 | $72.44 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $11.75 | $11.75 | $11.75 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $630.96 | Facility | None | $204.17 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $53.70 | $75.86 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $12.02 | $16.98 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $57.54 | $83.18 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $97.72 | Professional | None (both parts) | $33.88 | $40.74 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.55 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $9.55 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $75.86 | Professional | TC · Technical part | $25.12 | $31.62 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $40.74 | $54.95 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $8.71 | $12.02 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $42.66 | $69.18 |
2 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 52 · Reduced service Typical Low $18.62 Median $22.91 Typical High $26.30 | Professional | 52 · Reduced service | $18.62 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.12 Typical High $10.72 | Professional | 53 · Discontinued | $7.41 | $9.12 | $10.72 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 15th of 51
$53.70
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.