How much rates vary
Facilitymedian $295 · 10th to 90th $38 to $525Professionalmedian $54 · 10th to 90th $28 to $98
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 $42.66 Median $42.66 Typical High $7,585.78 | Facility | None | $42.66 | $42.66 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $37.15 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $10.00 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $53.70 | Professional | TC · Technical part | $25.70 | $33.11 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $15.14 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.92 Median $309.03 Typical High $630.96 | Facility | None | $26.92 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $48.98 | $229.09 | $309.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $25.12 Typical High $81.28 | Professional | 26 · Professional part | $12.02 | $25.12 | $81.28 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $37.15 | $213.80 | $234.42 |
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 $42.66 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $42.66 | $54.95 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $12.59 | $16.22 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $79.43 | Professional | TC · Technical part | $28.18 | $39.81 | $79.43 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $16.60 Median $41.69 Typical High $83.18 | Professional | None (both parts) | $16.60 | $41.69 | $83.18 |
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 $16.98 Median $53.70 Typical High $70.79 | Facility | None | $16.98 | $53.70 | $70.79 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $48.98 | $70.79 | $102.33 |
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 $37.15 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $53.70 | $77.62 |
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 $35.48 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $35.48 | $39.81 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $12.02 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $23.99 | $28.84 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $37.15 | $50.12 | $81.28 |
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 $28.18 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $38.02 | $63.10 |
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 $21.38 Typical High $25.12 | Professional | 52 · Reduced service | $18.62 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $7.41 | $8.51 | $10.00 |
Where Washington sits
The same service costs 3.6 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· 13th of 51
$53.70
AK $105FL $28.84
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.