How much rates vary
Facilitymedian $501 · 10th to 90th $138 to $891Professionalmedian $224 · 10th to 90th $47 to $417
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 $239.88 Median $239.88 Typical High $891.25 | Facility | None | $239.88 | $239.88 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $741.31 | Professional | None (both parts) | $239.88 | $239.88 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $489.78 Typical High $1,047.13 | Facility | None | $138.04 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,995.26 Typical High $2,187.76 | Professional | None (both parts) | $269.15 | $1,995.26 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,047.13 | Facility | None | $512.86 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $676.08 | Professional | None (both parts) | $199.53 | $288.40 | $676.08 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $97.72 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $97.72 | $288.40 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $43.65 | $204.17 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $251.19 Typical High $562.34 | Facility | None | $109.65 | $251.19 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $263.03 | Facility | None | $186.21 | $263.03 | $263.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $269.15 | $371.54 | $537.03 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Facility | None | $512.86 | $676.08 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $173.78 | $251.19 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $190.55 | $257.04 | $416.87 |
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 $64.57 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $67.61 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | 52 · Reduced service | $120.23 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $173.78 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $478.63 Typical High $489.78 | Professional | 26 · Professional part | $83.18 | $478.63 | $489.78 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $1,621.81 Typical High $1,778.28 | Professional | TC · Technical part | $181.97 | $1,621.81 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $58.88 | $83.18 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $213.80 | $478.63 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $257.04 | $363.08 |
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 $120.23 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $177.83 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $79.43 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $177.83 | $295.12 |
Where Washington sits
The same service costs 5.1 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· 44th of 51
$224
AK $676UT $132
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.