How much rates vary
Facilitymedian $324 · 10th to 90th $74 to $525Professionalmedian $78 · 10th to 90th $31 to $158
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 $74.13 Median $87.10 Typical High $524.81 | Facility | None | $74.13 | $87.10 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $67.61 | $74.13 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $58.88 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $60.26 | $120.23 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $309.03 Typical High $630.96 | Facility | None | $46.77 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $85.11 | $398.11 | $537.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $66.07 | $309.03 | $416.87 |
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 $70.79 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $70.79 | $95.50 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $72.44 | $138.04 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $24.55 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $24.55 | $75.86 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $28.18 | $74.13 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $17.38 Median $67.61 Typical High $117.49 | Facility | None | $17.38 | $67.61 | $117.49 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $109.65 | Professional | None (both parts) | $33.88 | $33.88 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 $85.11 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $85.11 | $120.23 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $91.20 | $131.83 |
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 $60.26 Median $69.18 Typical High $162.18 | Professional | None (both parts) | $60.26 | $69.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $51.29 | $120.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $141.25 | Professional | None (both parts) | $64.57 | $87.10 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $67.61 | $109.65 |
10 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 $15.14 Median $16.60 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $16.60 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $37.15 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $15.14 | $17.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.44 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $23.44 | $23.99 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $41.69 Typical High $158.49 | Professional | 26 · Professional part | $19.95 | $41.69 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $22.91 | $38.90 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $28.18 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $17.38 | $40.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $19.50 | $29.51 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 24th of 51
$77.62
AK $182TX $50.12
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.