How much rates vary
Facilitymedian $295 · 10th to 90th $110 to $525Professionalmedian $166 · 10th to 90th $43 to $324
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 $165.96 Median $371.54 Typical High $549.54 | Facility | None | $165.96 | $371.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $165.96 | $208.93 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $134.90 | $251.19 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $295.12 Typical High $630.96 | Facility | None | $95.50 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,380.38 Typical High $1,513.56 | Professional | None (both parts) | $181.97 | $1,380.38 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $501.19 | Facility | None | $257.04 | $257.04 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $134.90 | $204.17 | $457.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $74.13 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $74.13 | $199.53 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $158.49 Typical High $257.04 | Facility | None | $60.26 | $158.49 | $257.04 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $85.11 | $85.11 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $181.97 | Facility | None | $109.65 | $177.83 | $181.97 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
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 $181.97 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $181.97 | $257.04 | $371.54 |
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 $120.23 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $120.23 | $169.82 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $134.90 | $181.97 | $288.40 |
19 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 Facility Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $75.86 | Facility | 26 · Professional part | $45.71 | $45.71 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $190.55 | Facility | TC · Technical part | $120.23 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $48.98 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $33.11 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $125.89 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $66.07 | $74.13 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $114.82 Typical High $346.74 | Professional | 26 · Professional part | $54.95 | $114.82 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $1,230.27 | Professional | TC · Technical part | $128.82 | $257.04 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $39.81 | $57.54 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $147.91 | $323.59 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $79.43 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $181.97 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $48.98 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $123.03 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $54.95 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $125.89 | $204.17 |
Where Washington sits
The same service costs 4.9 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· 42nd of 51
$170
AK $513UT $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.