How much rates vary
Facilitymedian $708 · 10th to 90th $17 to $1,096Professionalmedian $102 · 10th to 90th $30 to $550
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $263.03 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $14.13 | $15.85 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $257.04 | $281.84 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $36.31 Median $707.95 Typical High $1,412.54 | Facility | None | $36.31 | $707.95 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $549.54 Typical High $1,348.96 | Professional | None (both parts) | $67.61 | $549.54 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $19.50 | $89.13 | $117.49 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $512.86 Typical High $1,288.25 | Professional | TC · Technical part | $47.86 | $512.86 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $977.24 | Facility | None | $478.63 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $54.95 | $75.86 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $20.89 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $53.70 | $100.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $4.17 Median $30.20 Typical High $77.62 | Professional | None (both parts) | $4.17 | $30.20 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $9.12 Typical High $17.78 | Professional | None (both parts) | $8.51 | $9.12 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $1.05 Median $14.13 Typical High $28.18 | Facility | None | $1.05 | $14.13 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $67.61 | Facility | None | $66.07 | $66.07 | $67.61 |
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 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $67.61 | $97.72 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $28.18 | $40.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $69.18 | $97.72 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $67.61 | $275.42 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.85 Typical High $38.02 | Professional | 26 · Professional part | $14.79 | $15.85 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $50.12 | $257.04 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.22 Median $21.88 Typical High $33.11 | Professional | None (both parts) | $16.22 | $21.88 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $14.13 | $19.05 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $2.82 Typical High $3.80 | Professional | TC · Technical part | $2.75 | $2.82 | $3.80 |
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 $131.83 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $57.54 | $64.57 |
Where Washington sits
The same service costs 6.6 times more in Colorado than in Michigan. 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
$102
CO $316MI $47.86
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.