How much rates vary
Facilitymedian $490 · 10th to 90th $170 to $891Professionalmedian $282 · 10th to 90th $52 to $550
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 $281.84 Median $446.68 Typical High $912.01 | Facility | None | $281.84 | $446.68 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $676.08 | Professional | None (both parts) | $269.15 | $281.84 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $489.78 Typical High $1,047.13 | Facility | None | $169.82 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,862.09 Typical High $1,949.84 | Professional | None (both parts) | $338.84 | $1,862.09 | $1,949.84 |
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 $239.88 Median $309.03 Typical High $776.25 | Professional | None (both parts) | $239.88 | $309.03 | $776.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $85.11 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $85.11 | $323.59 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $50.12 | $269.15 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $346.74 Typical High $478.63 | Facility | None | $97.72 | $346.74 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $331.13 | Facility | None | $186.21 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
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 $338.84 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $338.84 | $457.09 | $660.69 |
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 $208.93 Median $257.04 Typical High $645.65 | Professional | None (both parts) | $208.93 | $257.04 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $234.42 | $316.23 | $512.86 |
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 $54.95 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $61.66 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $218.78 | $524.81 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $380.19 Typical High $446.68 | Professional | 26 · Professional part | $75.86 | $380.19 | $446.68 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $1,584.89 | Professional | TC · Technical part | $263.03 | $512.86 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $75.86 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $602.56 | Professional | TC · Technical part | $186.21 | $234.42 | $602.56 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $263.03 | $354.81 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $58.88 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $199.53 | $489.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $72.44 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $245.47 | $398.11 |
Where Washington sits
The same service costs 4.4 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· 40th of 51
$282
AK $776UT $178
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.