How much rates vary
Facilitymedian $251 · 10th to 90th $38 to $437Professionalmedian $52 · 10th to 90th $27 to $93
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 $38.02 Median $38.02 Typical High $426.58 | Facility | None | $38.02 | $38.02 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.02 | Facility | 26 · Professional part | $10.00 | $10.00 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $31.62 | Facility | TC · Technical part | $28.18 | $28.18 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $27.54 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $10.00 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $28.18 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $15.14 | Professional | 26 · Professional part | $14.13 | $14.45 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.44 Median $257.04 Typical High $524.81 | Facility | None | $23.44 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $43.65 | $204.17 | $269.15 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $24.55 Typical High $112.20 | Professional | 26 · Professional part | $12.02 | $24.55 | $112.20 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $31.62 | $147.91 | $194.98 |
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 $30.90 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $30.90 | $46.77 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $12.59 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $66.07 | Professional | TC · Technical part | $21.88 | $32.36 | $66.07 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.30 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $12.30 | $31.62 | $70.79 |
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 $14.79 Median $39.81 Typical High $61.66 | Facility | None | $14.79 | $39.81 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
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 $43.65 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $43.65 | $61.66 | $89.13 |
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 $31.62 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $44.67 | $64.57 |
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 $28.18 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $28.18 | $33.11 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $9.33 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $23.99 | $57.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $32.36 | $43.65 | $69.18 |
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 $23.44 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $31.62 | $52.48 |
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 $15.49 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $15.49 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $6.17 | $7.59 | $8.71 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in New York. 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· 11th of 51
$52.48
AK $93.33NY $21.88
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.