How much rates vary
Facilitymedian $309 · 10th to 90th $47 to $501Professionalmedian $58 · 10th to 90th $28 to $102
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 $57.54 Median $57.54 Typical High $95.50 | Facility | None | $57.54 | $57.54 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $93.33 | Professional | None (both parts) | $44.67 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $15.14 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $42.66 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $309.03 Typical High $630.96 | Facility | None | $34.67 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $67.61 | $407.38 | $436.52 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $18.62 | $102.33 | $107.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $48.98 | $295.12 | $426.58 |
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 $50.12 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $50.12 | $70.79 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $19.95 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $100.00 | Professional | TC · Technical part | $33.11 | $46.77 | $100.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $20.42 Median $50.12 Typical High $107.15 | Professional | None (both parts) | $20.42 | $50.12 | $107.15 |
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 $22.91 Median $46.77 Typical High $87.10 | Facility | None | $22.91 | $46.77 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
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 $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 $67.61 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $67.61 | $93.33 | $134.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $26.30 | $38.02 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $67.61 | $97.72 |
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 $43.65 Median $51.29 Typical High $123.03 | Professional | None (both parts) | $43.65 | $51.29 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $14.45 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $89.13 | Professional | TC · Technical part | $29.51 | $36.31 | $89.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $48.98 | $66.07 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $13.18 | $17.78 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $47.86 | $77.62 |
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 $23.44 Median $28.84 Typical High $33.88 | Professional | 52 · Reduced service | $23.44 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $9.33 | $11.48 | $13.49 |
Where Washington sits
The same service costs 4.1 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· 23rd of 51
$57.54
AK $132UT $32.36
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.