How much rates vary
Facilitymedian $646 · 10th to 90th $204 to $1,202Professionalmedian $240 · 10th to 90th $66 to $501
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 $309.03 Median $331.13 Typical High $1,230.27 | Facility | None | $309.03 | $331.13 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $371.54 | $1,000.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $660.69 Typical High $1,412.54 | Facility | None | $169.82 | $660.69 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $2,951.21 Typical High $3,715.35 | Professional | None (both parts) | $338.84 | $2,951.21 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,023.29 | Facility | None | $524.81 | $524.81 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $263.03 | $416.87 | $891.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $107.15 | $380.19 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $63.10 | $213.80 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $575.44 | Facility | None | $120.23 | $323.59 | $575.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $363.08 | Professional | None (both parts) | $138.04 | $138.04 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $331.13 | Facility | None | $251.19 | $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 $478.63 Median $707.95 Typical High $1,412.54 | Facility | None | $478.63 | $707.95 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $338.84 | $467.74 | $660.69 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $229.09 | $338.84 | $741.31 |
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 |
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 $77.62 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $61.66 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $234.42 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $120.23 | $125.89 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $194.98 Typical High $588.84 | Professional | 26 · Professional part | $95.50 | $194.98 | $588.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $2,511.89 Typical High $2,570.40 | Professional | TC · Technical part | $239.88 | $2,511.89 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $67.61 | $95.50 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $323.59 | $676.08 |
Premera BCBS 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 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $331.13 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $75.86 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $263.03 | $537.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $91.20 | $138.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $229.09 | $371.54 |
Where Washington sits
The same service costs 6.0 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
$240
WY $912UT $151
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.