How much rates vary
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $85.11 | $102.33 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $707.95 Typical High $1,412.54 | Facility | None | $60.26 | $707.95 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $120.23 | $630.96 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,000.00 | Facility | None | $478.63 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $83.18 | $120.23 | $234.42 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.90 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $38.90 | $85.11 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $33.88 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $109.65 Typical High $165.96 | Facility | None | $50.12 | $109.65 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $117.49 Typical High $117.49 | Facility | None | $112.20 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $120.23 | $162.18 | $234.42 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $83.18 | $91.20 | $218.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $83.18 | $112.20 | $177.83 |
16 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 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $20.89 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $74.13 | $74.13 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $204.17 Typical High $208.93 | Professional | 26 · Professional part | $36.31 | $204.17 | $208.93 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $165.96 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $38.02 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $79.43 | $165.96 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $50.12 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $112.20 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $30.20 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $144.54 | Professional | TC · Technical part | $53.70 | $60.26 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $33.88 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $77.62 | $128.82 |
Where Washington sits
The same service costs 3.7 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· 21st of 51
$112
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.