How much rates vary
Facilitymedian $316 · 10th to 90th $123 to $550Professionalmedian $174 · 10th to 90th $43 to $339
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 $204.17 Median $371.54 Typical High $549.54 | Facility | None | $204.17 | $371.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $204.17 | $223.87 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $630.96 | Facility | None | $117.49 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $1,479.11 Typical High $1,778.28 | Professional | None (both parts) | $229.09 | $1,479.11 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $194.98 | $302.00 | $676.08 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $93.33 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $93.33 | $245.47 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $38.02 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $478.63 | Facility | None | $117.49 | $257.04 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $223.87 Typical High $223.87 | Facility | None | $109.65 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $630.96 | Facility | None | $218.78 | $316.23 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $229.09 | $323.59 | $457.09 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $165.96 | $234.42 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $165.96 | $223.87 | $354.81 |
17 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 $58.88 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $67.61 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 52 · Reduced service | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 53 · Discontinued | $40.74 | $40.74 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $134.90 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $97.72 | $104.71 | $104.71 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $489.78 Typical High $524.81 | Professional | 26 · Professional part | $83.18 | $489.78 | $524.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $1,174.90 Typical High $1,412.54 | Professional | TC · Technical part | $144.54 | $1,174.90 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $83.18 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $120.23 | $213.80 | $524.81 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $204.17 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $64.57 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $162.18 | $346.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $81.28 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $141.25 | $229.09 |
Where Washington sits
The same service costs 6.2 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· 47th of 51
$174
AK $646UT $105
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.