How much rates vary
Facilitymedian $646 · 10th to 90th $302 to $2,089Professionalmedian $275 · 10th to 90th $45 to $3,236
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $275.42 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $141.25 | $177.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $218.78 | $218.78 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $1,148.15 | Facility | None | $251.19 | $501.19 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $3,890.45 Typical High $9,332.54 | Professional | None (both parts) | $1,949.84 | $3,890.45 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $1,000.00 Typical High $1,318.26 | Professional | 26 · Professional part | $213.80 | $1,000.00 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $3,630.78 Typical High $9,120.11 | Professional | TC · Technical part | $1,737.80 | $3,630.78 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,122.02 | Facility | None | $512.86 | $562.34 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,089.30 Typical High $4,073.80 | Professional | None (both parts) | $1,548.82 | $2,089.30 | $4,073.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $177.83 | $229.09 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,862.09 Typical High $3,630.78 | Professional | TC · Technical part | $1,348.96 | $1,862.09 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,949.84 Typical High $3,548.13 | Professional | None (both parts) | $239.88 | $1,949.84 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $39.81 | $181.97 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $2,089.30 Typical High $2,818.38 | Facility | None | $257.04 | $2,089.30 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $1,905.46 Typical High $1,949.84 | Facility | None | $186.21 | $1,905.46 | $1,949.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $549.54 Typical High $1,348.96 | Facility | None | $416.87 | $549.54 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,754.23 Typical High $4,073.80 | Professional | None (both parts) | $1,949.84 | $2,754.23 | $4,073.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $309.03 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $309.03 | $446.68 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,454.71 Typical High $3,630.78 | Professional | TC · Technical part | $1,737.80 | $2,454.71 | $3,630.78 |
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 $295.12 Median $398.11 Typical High $1,047.13 | Professional | None (both parts) | $295.12 | $398.11 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $436.52 | Professional | 26 · Professional part | $144.54 | $169.82 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $229.09 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
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 $138.04 Median $138.04 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $138.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $120.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $120.23 |
Where Washington sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 51st of 51
$275
WY $3,715WA $275
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.