How much rates vary
Facilitymedian $1,000 · 10th to 90th $204 to $1,514Professionalmedian $302 · 10th to 90th $98 to $617
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 $371.54 Median $371.54 Typical High $616.60 | Facility | None | $371.54 | $371.54 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $870.96 | Professional | None (both parts) | $371.54 | $371.54 | $870.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $1,023.29 Typical High $2,238.72 | Facility | None | $204.17 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $3,548.13 Typical High $3,630.78 | Professional | None (both parts) | $398.11 | $3,548.13 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Facility | None | $1,023.29 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $1,071.52 | Professional | None (both parts) | $295.12 | $446.68 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $446.68 Typical High $851.14 | Professional | None (both parts) | $134.90 | $446.68 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $89.13 | $275.42 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $389.05 Typical High $831.76 | Facility | None | $154.88 | $389.05 | $831.76 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $165.96 | $165.96 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $363.08 Median $389.05 Typical High $389.05 | Facility | None | $363.08 | $389.05 | $389.05 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,238.72 | Facility | None | $758.58 | $1,096.48 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $398.11 | $562.34 | $794.33 |
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 $275.42 Median $354.81 Typical High $870.96 | Professional | None (both parts) | $275.42 | $354.81 | $870.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $281.84 | $380.19 | $616.60 |
16 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 $95.50 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $95.50 | $95.50 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $186.21 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $74.13 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $275.42 | $602.56 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $660.69 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $660.69 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $575.44 Typical High $3,090.30 | Professional | TC · Technical part | $281.84 | $575.44 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $117.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $346.74 | $776.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $389.05 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $91.20 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $194.98 | $257.04 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $112.20 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $269.15 | $446.68 |
Where Washington sits
The same service costs 5.9 times more in Wyoming 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
$302
WY $1,122UT $191
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.