How much rates vary
Facilitymedian $646 · 10th to 90th $170 to $1,047Professionalmedian $275 · 10th to 90th $50 to $513
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 $309.03 Median $309.03 Typical High $512.86 | Facility | None | $309.03 | $309.03 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $977.24 | Professional | None (both parts) | $309.03 | $309.03 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $645.65 Typical High $1,412.54 | Facility | None | $169.82 | $645.65 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,884.03 Typical High $2,951.21 | Professional | None (both parts) | $331.13 | $2,884.03 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,122.02 | Facility | None | $524.81 | $524.81 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $891.25 | Professional | None (both parts) | $257.04 | $371.54 | $891.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $97.72 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $97.72 | $380.19 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $48.98 | $251.19 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $354.81 Typical High $724.44 | Facility | None | $112.20 | $354.81 | $724.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $120.23 | $120.23 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $323.59 | Facility | None | $251.19 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,412.54 | Facility | None | $478.63 | $707.95 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $331.13 | $457.09 | $660.69 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $223.87 | $331.13 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $234.42 | $316.23 | $501.19 |
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 $70.79 Median $70.79 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $70.79 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $61.66 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $234.42 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $181.97 Typical High $645.65 | Professional | 26 · Professional part | $87.10 | $181.97 | $645.65 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $239.88 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $87.10 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $186.21 | $295.12 | $676.08 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $239.88 | $331.13 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $69.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $251.19 | $549.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $229.09 | $380.19 |
Where Washington sits
The same service costs 5.8 times more in Wyoming 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· 46th of 51
$275
WY $912UT $158
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.