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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $52.48 | Professional | None (both parts) | $39.81 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.12 Typical High $11.22 | Professional | 26 · Professional part | $8.51 | $9.12 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $36.31 | $36.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $27.54 Median $257.04 Typical High $524.81 | Facility | None | $27.54 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $52.48 | $245.47 | $316.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $22.91 Typical High $93.33 | Professional | 26 · Professional part | $10.96 | $22.91 | $93.33 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $40.74 | $190.55 | $251.19 |
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 $38.02 Median $53.70 Typical High $107.15 | Professional | None (both parts) | $38.02 | $53.70 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $87.10 | Professional | TC · Technical part | $28.18 | $40.74 | $87.10 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.59 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $12.59 | $44.67 | $85.11 |
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 $13.18 Median $48.98 Typical High $74.13 | Facility | None | $13.18 | $48.98 | $74.13 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
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 $52.48 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $52.48 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.85 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $57.54 | $83.18 |
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 $36.31 Median $39.81 Typical High $95.50 | Professional | None (both parts) | $36.31 | $39.81 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $9.33 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $31.62 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $38.02 | $51.29 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $40.74 | $66.07 |
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 $19.95 Median $22.91 Typical High $26.30 | Professional | 52 · Reduced service | $19.95 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $10.47 | Professional | 53 · Discontinued | $7.94 | $9.12 | $10.47 |
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· 14th of 51
$53.70
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.