How much rates vary
Facilitymedian $251 · 10th to 90th $29 to $380Professionalmedian $52 · 10th to 90th $27 to $93
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 $38.90 Median $38.90 Typical High $64.57 | Facility | None | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $30.90 | $38.90 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.13 | $9.55 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $28.84 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $257.04 Typical High $524.81 | Facility | None | $24.55 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $44.67 | $208.93 | $281.84 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $11.48 | $69.18 | $69.18 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $33.11 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $331.13 | Facility | None | $125.89 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $35.48 | $48.98 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $12.30 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $70.79 | Professional | TC · Technical part | $24.55 | $35.48 | $70.79 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.88 Median $36.31 Typical High $74.13 | Professional | None (both parts) | $12.88 | $36.31 | $74.13 |
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 $14.13 Median $38.02 Typical High $56.23 | Facility | None | $14.13 | $38.02 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Facility | None | $43.65 | $43.65 | $44.67 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $524.81 | Facility | None | $125.89 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $44.67 | $63.10 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.22 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $46.77 | $67.61 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $81.28 | Professional | None (both parts) | $29.51 | $34.67 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $9.12 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $61.66 | Professional | TC · Technical part | $20.89 | $25.70 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $33.88 | $45.71 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $25.12 | $33.88 | $56.23 |
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 $16.60 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.61 | $7.76 | $8.91 |
Where Washington sits
The same service costs 3.5 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· 11th of 51
$52.48
AK $87.10FL $25.12
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.