How much rates vary
Facilitymedian $302 · 10th to 90th $62 to $550Professionalmedian $59 · 10th to 90th $29 to $110
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 $63.10 Median $64.57 Typical High $549.54 | Facility | None | $63.10 | $64.57 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $22.39 | Facility | 26 · Professional part | $14.79 | $14.79 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $69.18 | Facility | TC · Technical part | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $51.29 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $14.79 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $48.98 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $50.12 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $21.88 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $41.69 Median $309.03 Typical High $630.96 | Facility | None | $41.69 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $74.13 | $346.74 | $478.63 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $37.15 Typical High $117.49 | Professional | 26 · Professional part | $18.20 | $37.15 | $117.49 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $54.95 | $257.04 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $53.70 | $75.86 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $21.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $120.23 | Professional | TC · Technical part | $34.67 | $52.48 | $120.23 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $21.88 Median $54.95 Typical High $120.23 | Professional | None (both parts) | $21.88 | $54.95 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $53.70 Typical High $95.50 | Facility | None | $25.70 | $53.70 | $95.50 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $47.86 | Professional | None (both parts) | $18.20 | $18.20 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $630.96 | Facility | None | $204.17 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $74.13 | $104.71 | $151.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $25.12 | $36.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $54.95 | $79.43 | $114.82 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $134.90 | Professional | None (both parts) | $50.12 | $57.54 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $15.49 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $42.66 | $102.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $57.54 | $77.62 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $13.18 | $17.78 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $60.26 | $97.72 |
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 $26.30 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $26.30 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $10.72 | $12.59 | $14.79 |
Where Washington sits
The same service costs 4.8 times more in Alaska 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· 28th of 51
$60.26
AK $158UT $33.11
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.