How much rates vary
Facilitymedian $251 · 10th to 90th $58 to $380Professionalmedian $59 · 10th to 90th $28 to $110
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $48.98 | $64.57 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $12.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $51.29 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $39.81 Median $257.04 Typical High $524.81 | Facility | None | $39.81 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $74.13 | $346.74 | $457.09 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $147.91 | Professional | 26 · Professional part | $15.85 | $32.36 | $147.91 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $57.54 | $275.42 | $371.54 |
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 $54.95 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $54.95 | $79.43 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $16.98 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $58.88 | $123.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $17.78 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $17.78 | $56.23 | $120.23 |
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 $22.39 Median $83.18 Typical High $104.71 | Facility | None | $22.39 | $83.18 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $74.13 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $74.13 | $104.71 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $15.85 | $22.39 | $31.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $81.28 | $117.49 |
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 $47.86 Median $56.23 Typical High $138.04 | Professional | None (both parts) | $47.86 | $56.23 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $30.90 | Professional | 26 · Professional part | $12.02 | $12.88 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $44.67 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $56.23 | $75.86 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $15.49 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $60.26 | $97.72 |
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 $26.92 Median $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $26.92 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.88 Typical High $15.14 | Professional | 53 · Discontinued | $10.72 | $12.88 | $15.14 |
Where Washington sits
The same service costs 4.5 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· 25th of 51
$60.26
AK $148UT $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.