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 $354.81 Median $588.84 Typical High $1,096.48 | Facility | None | $354.81 | $588.84 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $389.05 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $660.69 Typical High $1,412.54 | Facility | None | $234.42 | $660.69 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $2,884.03 Typical High $3,235.94 | Professional | None (both parts) | $501.19 | $2,884.03 | $3,235.94 |
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 $380.19 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $549.54 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $107.15 | $575.44 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $72.44 | $302.00 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $537.03 Typical High $776.25 | Facility | None | $112.20 | $537.03 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $489.78 | Facility | None | $251.19 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
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 $501.19 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $501.19 | $691.83 | $977.24 |
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 $338.84 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $338.84 | $426.58 | $1,023.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $323.59 | $436.52 | $707.95 |
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 $77.62 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $77.62 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $281.84 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $194.98 Typical High $707.95 | Professional | 26 · Professional part | $95.50 | $194.98 | $707.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $2,511.89 Typical High $2,818.38 | Professional | TC · Technical part | $407.38 | $2,511.89 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $67.61 | $95.50 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $457.09 Typical High $1,122.02 | Professional | TC · Technical part | $309.03 | $457.09 | $1,122.02 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $549.54 Typical High $776.25 | Professional | TC · Technical part | $407.38 | $549.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $75.86 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $275.42 | $346.74 | $812.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $91.20 | $138.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $346.74 | $562.34 |
Where Washington sits
The same service costs 6.3 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
$347
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.