How much rates vary
Facilitymedian $513 · 10th to 90th $126 to $813Professionalmedian $240 · 10th to 90th $50 to $479
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 $257.04 Median $257.04 Typical High $457.09 | Facility | None | $257.04 | $257.04 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $257.04 | $257.04 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $489.78 Typical High $1,047.13 | Facility | None | $147.91 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $2,344.23 Typical High $2,398.83 | Professional | None (both parts) | $288.40 | $2,344.23 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,096.48 | Facility | None | $512.86 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $223.87 | $354.81 | $851.14 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $93.33 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $93.33 | $323.59 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $47.86 | $218.78 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $316.23 Typical High $630.96 | Facility | None | $114.82 | $316.23 | $630.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $117.49 | $117.49 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $281.84 | Facility | None | $186.21 | $281.84 | $281.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $288.40 | $398.11 | $575.44 |
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 $199.53 Median $269.15 Typical High $616.60 | Professional | None (both parts) | $199.53 | $269.15 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $204.17 | $275.42 | $436.52 |
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 $61.66 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $190.55 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $169.82 Typical High $549.54 | Professional | 26 · Professional part | $83.18 | $169.82 | $549.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $2,041.74 | Professional | TC · Technical part | $204.17 | $407.38 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $58.88 | $83.18 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $645.65 | Professional | TC · Technical part | $162.18 | $269.15 | $645.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $281.84 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $64.57 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $144.54 | $204.17 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $79.43 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $194.98 | $323.59 |
Where Washington sits
The same service costs 5.2 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· 47th of 51
$240
AK $794UT $151
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.