How much rates vary
Facilitymedian $525 · 10th to 90th $186 to $912Professionalmedian $288 · 10th to 90th $52 to $562
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 $912.01 Typical High $912.01 | Facility | None | $281.84 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $831.76 | Professional | None (both parts) | $281.84 | $281.84 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $489.78 Typical High $1,047.13 | Facility | None | $177.83 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $2,238.72 Typical High $2,290.87 | Professional | None (both parts) | $371.54 | $2,238.72 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $707.95 | Facility | None | $512.86 | $562.34 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $891.25 | Professional | None (both parts) | $269.15 | $371.54 | $891.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $89.13 | $380.19 | $645.65 |
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 $102.33 Median $389.05 Typical High $512.86 | Facility | None | $102.33 | $389.05 | $512.86 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $407.38 | Professional | None (both parts) | $120.23 | $120.23 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $363.08 | Facility | None | $186.21 | $363.08 | $363.08 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $371.54 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $371.54 | $512.86 | $724.44 |
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 $234.42 Median $288.40 Typical High $724.44 | Professional | None (both parts) | $234.42 | $288.40 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $245.47 | $331.13 | $537.03 |
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 $57.54 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $64.57 | $123.03 |
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 $218.78 Median $218.78 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $218.78 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $457.09 Typical High $467.74 | Professional | 26 · Professional part | $79.43 | $457.09 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $575.44 Typical High $1,949.84 | Professional | TC · Technical part | $288.40 | $575.44 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $79.43 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $295.12 | $691.83 |
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 $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 $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 $288.40 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $398.11 | $562.34 |
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 $181.97 Median $223.87 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $223.87 | $562.34 |
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 $190.55 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $257.04 | $416.87 |
Where Washington sits
The same service costs 5.0 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· 44th of 51
$288
AK $891UT $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.