How much rates vary
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $602.56 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $190.55 | Professional | 26 · Professional part | $141.25 | $173.78 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $501.19 | $588.84 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $1,479.11 Typical High $3,162.28 | Facility | None | $537.03 | $1,479.11 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $3,801.89 Typical High $7,079.46 | Professional | None (both parts) | $1,949.84 | $3,801.89 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $1,288.25 Typical High $1,659.59 | Professional | 26 · Professional part | $213.80 | $1,288.25 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $3,467.37 Typical High $6,918.31 | Professional | TC · Technical part | $1,737.80 | $3,467.37 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,698.24 | Facility | None | $524.81 | $758.58 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,089.30 Typical High $3,890.45 | Professional | None (both parts) | $1,445.44 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $416.87 | Professional | 26 · Professional part | $173.78 | $229.09 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,862.09 Typical High $3,467.37 | Professional | TC · Technical part | $1,288.25 | $1,862.09 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $229.09 Median $1,905.46 Typical High $3,548.13 | Professional | None (both parts) | $229.09 | $1,905.46 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $50.12 | $223.87 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $251.19 Median $1,584.89 Typical High $2,630.27 | Facility | None | $251.19 | $1,584.89 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,905.46 Typical High $1,905.46 | Facility | None | $562.34 | $1,905.46 | $1,905.46 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $3,162.28 | Facility | None | $1,047.13 | $1,584.89 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,754.23 Typical High $3,890.45 | Professional | None (both parts) | $1,949.84 | $2,754.23 | $3,890.45 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $213.80 | $295.12 | $426.58 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,398.83 Typical High $3,467.37 | Professional | TC · Technical part | $1,737.80 | $2,398.83 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $676.08 Typical High $1,737.80 | Professional | None (both parts) | $389.05 | $676.08 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $436.52 | Professional | 26 · Professional part | $141.25 | $169.82 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $501.19 Typical High $1,318.26 | Professional | TC · Technical part | $234.42 | $501.19 | $1,318.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $323.59 | Professional | 26 · Professional part | $158.49 | $213.80 | $323.59 |
2 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 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $120.23 | $131.83 | $131.83 |
Where Washington sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 49th of 51
$389
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.