How much rates vary
Facilitymedian $309 · 10th to 90th $39 to $525Professionalmedian $58 · 10th to 90th $28 to $100
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 $50.12 Median $72.44 Typical High $524.81 | Facility | None | $50.12 | $72.44 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $83.18 | Professional | None (both parts) | $42.66 | $50.12 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $13.80 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $30.90 | $36.31 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | None (both parts) | $72.44 | $72.44 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $20.42 | $22.39 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $32.36 Median $309.03 Typical High $630.96 | Facility | None | $32.36 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $57.54 | $269.15 | $371.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $16.60 | $102.33 | $104.71 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $41.69 | $208.93 | $269.15 |
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 $44.67 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $44.67 | $63.10 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $17.38 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $31.62 | $44.67 | $89.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $16.22 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $16.22 | $47.86 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $15.14 Median $45.71 Typical High $75.86 | Facility | None | $15.14 | $45.71 | $75.86 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $57.54 | $83.18 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $16.60 | $23.44 | $33.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $58.88 | $85.11 |
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 $38.90 Median $44.67 Typical High $107.15 | Professional | None (both parts) | $38.90 | $44.67 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $12.88 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $77.62 | Professional | TC · Technical part | $28.18 | $32.36 | $77.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $44.67 | $60.26 | $97.72 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $16.98 | $25.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $43.65 | $72.44 |
2 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 52 · Reduced service Typical Low $21.38 Median $25.12 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $11.75 | Professional | 53 · Discontinued | $8.51 | $10.00 | $11.75 |
Where Washington sits
The same service costs 3.7 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· 18th of 51
$57.54
AK $123UT $33.11
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.