How much rates vary
Facilitymedian $1,023 · 10th to 90th $151 to $1,778Professionalmedian $186 · 10th to 90th $45 to $398
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 $218.78 Median $363.08 Typical High $1,778.28 | Facility | None | $218.78 | $363.08 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $218.78 | $218.78 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $1,023.29 Typical High $2,238.72 | Facility | None | $125.89 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $239.88 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,348.96 | Facility | None | $562.34 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $190.55 | $302.00 | $707.95 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $89.13 | $263.03 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $42.66 | $165.96 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $229.09 Typical High $416.87 | Facility | None | $93.33 | $229.09 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $239.88 | Facility | None | $213.80 | $239.88 | $239.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,238.72 | Facility | None | $741.31 | $1,071.52 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $239.88 | $338.84 | $489.78 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $169.82 | $229.09 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $173.78 | $234.42 | $380.19 |
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 $56.23 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $64.57 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 52 · Reduced service | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $43.65 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $154.88 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $100.00 | $107.15 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $446.68 Typical High $467.74 | Professional | 26 · Professional part | $79.43 | $446.68 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $1,905.46 | Professional | TC · Technical part | $162.18 | $331.13 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $56.23 | $79.43 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $128.82 | $218.78 | $549.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $112.20 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $162.18 | $229.09 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $61.66 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $371.54 | Professional | TC · Technical part | $114.82 | $162.18 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $75.86 | $114.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $158.49 | $263.03 |
Where Washington sits
The same service costs 5.4 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· 48th of 51
$186
AK $676UT $126
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.