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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $57.54 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $23.44 | Professional | 26 · Professional part | $16.60 | $19.05 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $52.48 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $1,548.82 Typical High $3,162.28 | Facility | None | $45.71 | $1,548.82 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $85.11 | $398.11 | $524.81 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $23.44 | $123.03 | $138.04 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $61.66 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,584.89 Typical High $2,238.72 | Facility | None | $478.63 | $1,584.89 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $58.88 | $83.18 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $25.12 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $131.83 | Professional | TC · Technical part | $38.90 | $54.95 | $131.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $24.55 Median $54.95 Typical High $134.90 | Professional | None (both parts) | $24.55 | $54.95 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $63.10 Typical High $107.15 | Facility | None | $24.55 | $63.10 | $107.15 |
Premera BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Facility | None | $83.18 | $83.18 | $85.11 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $1,548.82 Typical High $3,162.28 | Facility | None | $204.17 | $1,548.82 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $85.11 | $120.23 | $173.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $33.11 | $47.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $154.88 | Professional | None (both parts) | $51.29 | $63.10 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $18.20 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $107.15 | Professional | TC · Technical part | $33.88 | $44.67 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $63.10 | $85.11 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $22.91 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $46.77 | $63.10 | $102.33 |
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 $28.84 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $14.45 | $16.60 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 37th of 51
$60.26
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.