How much rates vary
Facilitymedian $257 · 10th to 90th $16 to $407Professionalmedian $27 · 10th to 90th $19 to $186
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 $21.38 Median $21.38 Typical High $30.90 | Facility | None | $21.38 | $21.38 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $36.31 | Professional | None (both parts) | $19.05 | $21.38 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $11.48 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | TC · Technical part | $10.00 | $10.00 | $17.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.59 Median $239.88 Typical High $524.81 | Facility | None | $7.59 | $239.88 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $24.55 | $186.21 | $208.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $28.84 Typical High $109.65 | Professional | 26 · Professional part | $13.49 | $28.84 | $109.65 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $25.70 Typical High $134.90 | Professional | TC · Technical part | $10.96 | $25.70 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $363.08 | Facility | None | $125.89 | $269.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $23.44 | $29.51 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $15.14 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $26.30 | Professional | TC · Technical part | $11.22 | $14.45 | $26.30 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $11.75 Median $21.88 Typical High $43.65 | Professional | None (both parts) | $11.75 | $21.88 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.46 Typical High $13.18 | Professional | None (both parts) | $6.03 | $6.46 | $13.18 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $38.02 | Facility | None | $14.45 | $19.95 | $38.02 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $25.12 | Facility | None | $23.99 | $23.99 | $25.12 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | TC · Technical part | $11.75 | $11.75 | $11.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $257.04 Typical High $524.81 | Facility | None | $104.71 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $24.55 | $36.31 | $53.70 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $19.05 | $28.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $16.98 Typical High $25.12 | Professional | TC · Technical part | $10.96 | $16.98 | $25.12 |
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 $19.50 Median $21.38 Typical High $50.12 | Professional | None (both parts) | $19.50 | $21.38 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $28.18 | Professional | 26 · Professional part | $10.00 | $11.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.00 Typical High $23.44 | Professional | TC · Technical part | $8.71 | $10.00 | $23.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.95 Median $26.92 Typical High $42.66 | Professional | None (both parts) | $19.95 | $26.92 | $42.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $13.80 | $20.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $13.18 Typical High $21.38 | Professional | TC · Technical part | $9.77 | $13.18 | $21.38 |
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 $10.00 Median $10.72 Typical High $12.59 | Professional | 52 · Reduced service | $10.00 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $3.98 | $4.27 | $5.13 |
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· 17th of 51
$28.18
AK $56.23FL $15.49
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.