How much rates vary
Facilitymedian $1,023 · 10th to 90th $257 to $1,698Professionalmedian $380 · 10th to 90th $98 to $794
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 $467.74 Median $467.74 Typical High $741.31 | Facility | None | $467.74 | $467.74 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $1,122.02 | Professional | None (both parts) | $467.74 | $467.74 | $1,122.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | None (both parts) | $588.84 | $588.84 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $1,023.29 Typical High $2,238.72 | Facility | None | $257.04 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,000.00 Typical High $5,495.41 | Professional | None (both parts) | $501.19 | $1,000.00 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,737.80 | Facility | None | $1,023.29 | $1,023.29 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $660.69 Typical High $1,412.54 | Professional | None (both parts) | $389.05 | $660.69 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $131.83 Median $630.96 Typical High $1,258.93 | Professional | None (both parts) | $131.83 | $630.96 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $97.72 | $338.84 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $1,348.96 | Facility | None | $154.88 | $562.34 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $489.78 | Facility | None | $371.54 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $524.81 | $1,148.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $354.81 | $478.63 | $776.25 |
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 $95.50 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $371.54 Typical High $812.83 | Professional | TC · Technical part | $338.84 | $371.54 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $138.04 Typical High $147.91 | Professional | 26 · Professional part | $134.90 | $138.04 | $147.91 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $239.88 Typical High $812.83 | Professional | 26 · Professional part | $117.49 | $239.88 | $812.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $776.25 Typical High $5,011.87 | Professional | TC · Technical part | $380.19 | $776.25 | $5,011.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $117.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $537.03 Typical High $1,148.15 | Professional | TC · Technical part | $295.12 | $537.03 | $1,148.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $537.03 Typical High $758.58 | Professional | TC · Technical part | $380.19 | $537.03 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $93.33 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $933.25 | Professional | TC · Technical part | $257.04 | $436.52 | $933.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $112.20 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $371.54 | $602.56 |
Where Washington sits
The same service costs 5.6 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· 47th of 51
$380
WY $1,380UT $245
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.