How much rates vary
Facilitymedian $302 · 10th to 90th $39 to $501Professionalmedian $58 · 10th to 90th $28 to $100
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 $53.70 Median $53.70 Typical High $75.86 | Facility | None | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $44.67 | $53.70 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $13.18 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $33.11 | $39.81 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $19.05 | $19.05 | $20.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.11 Median $309.03 Typical High $630.96 | Facility | None | $33.11 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $61.66 | $288.40 | $380.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.11 Typical High $112.20 | Professional | 26 · Professional part | $16.22 | $33.11 | $112.20 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $45.71 | $269.15 | $288.40 |
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 $45.71 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $45.71 | $66.07 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $32.36 | Professional | 26 · Professional part | $12.02 | $16.98 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $33.11 | $46.77 | $95.50 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $16.22 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $16.22 | $52.48 | $100.00 |
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 $15.14 Median $47.86 Typical High $81.28 | Facility | None | $15.14 | $47.86 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $61.66 | Facility | None | $60.26 | $60.26 | $61.66 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $61.66 | $87.10 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $22.91 | $33.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $64.57 | $93.33 |
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 $43.65 Median $47.86 Typical High $114.82 | Professional | None (both parts) | $43.65 | $47.86 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $30.90 | Professional | 26 · Professional part | $11.22 | $12.59 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $35.48 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $45.71 | $61.66 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $15.49 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $46.77 | $75.86 |
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 $22.39 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $22.39 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $8.91 | $10.72 | $12.30 |
Where Washington sits
The same service costs 3.9 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· 19th of 51
$57.54
AK $129UT $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.