How much rates vary
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $467.74 | $467.74 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $354.81 | Facility | None | $251.19 | $302.00 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $3,311.31 Typical High $3,467.37 | Professional | None (both parts) | $501.19 | $3,311.31 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $776.25 Typical High $1,202.26 | Facility | None | $758.58 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,348.96 | Professional | None (both parts) | $380.19 | $549.54 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $128.82 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $128.82 | $562.34 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $97.72 | $331.13 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $691.83 | Facility | None | $125.89 | $489.78 | $691.83 |
Premera BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $707.95 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $346.74 | $436.52 | $1,023.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $354.81 | $478.63 | $758.58 |
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 $141.25 | Professional | 26 · Professional part | $95.50 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $371.54 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $645.65 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $645.65 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $2,818.38 Typical High $2,951.21 | Professional | TC · Technical part | $389.05 | $2,818.38 | $2,951.21 |
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 $295.12 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $295.12 | $426.58 | $1,071.52 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
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 $389.05 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $389.05 | $537.03 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $93.33 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $346.74 | $794.33 |
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 $269.15 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $269.15 | $363.08 | $588.84 |
Where Washington sits
The same service costs 5.4 times more in Wyoming 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· 45th of 51
$380
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.