How much rates vary
Facilitymedian $309 · 10th to 90th $54 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 $53.70 Median $53.70 Typical High $89.13 | Facility | None | $53.70 | $53.70 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $45.71 | $53.70 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $34.67 | Professional | 26 · Professional part | $14.45 | $15.14 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $30.90 | $38.90 | $75.86 |
Ambetter 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 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.11 Median $309.03 Typical High $630.96 | Facility | None | $33.11 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $61.66 | $316.23 | $380.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $38.02 Typical High $112.20 | Professional | 26 · Professional part | $18.62 | $38.02 | $112.20 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $269.15 Typical High $295.12 | Professional | TC · Technical part | $43.65 | $269.15 | $295.12 |
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 $53.70 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $53.70 | $67.61 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $17.38 | $22.91 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $46.77 | $91.20 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $23.44 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $23.44 | $51.29 | $102.33 |
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 $61.66 Typical High $89.13 | Facility | None | $24.55 | $61.66 | $89.13 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $61.66 | Facility | None | $60.26 | $60.26 | $61.66 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
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 $61.66 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $61.66 | $87.10 | $125.89 |
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 $43.65 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $43.65 | $61.66 | $89.13 |
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 $44.67 Median $48.98 Typical High $117.49 | Professional | None (both parts) | $44.67 | $48.98 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $38.02 | Professional | 26 · Professional part | $14.13 | $16.98 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $33.11 | $79.43 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $45.71 | $61.66 | $97.72 |
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 $32.36 Median $43.65 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $43.65 | $70.79 |
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 $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $23.44 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $9.33 | $10.72 | $12.59 |
Where Washington sits
The same service costs 4.0 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· 22nd of 51
$57.54
AK $132UT $33.11
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.