How much rates vary
Facilitymedian $1,023 · 10th to 90th $302 to $1,862Professionalmedian $347 · 10th to 90th $100 to $759
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 $407.38 Median $501.19 Typical High $3,890.45 | Facility | None | $407.38 | $501.19 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $1,071.52 | Professional | None (both parts) | $457.09 | $467.74 | $1,071.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | None (both parts) | $645.65 | $645.65 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $1,023.29 Typical High $2,238.72 | Facility | None | $251.19 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $977.24 Typical High $6,165.95 | Professional | None (both parts) | $489.78 | $977.24 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,023.29 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $1,318.26 | Professional | None (both parts) | $389.05 | $602.56 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $162.18 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $162.18 | $549.54 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $95.50 | $323.59 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $489.78 Typical High $758.58 | Facility | None | $186.21 | $489.78 | $758.58 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $218.78 | $218.78 | $489.78 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $478.63 | Facility | None | $371.54 | $478.63 | $478.63 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $489.78 Median $676.08 Typical High $977.24 | Professional | None (both parts) | $489.78 | $676.08 | $977.24 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $501.19 | $1,122.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $346.74 | $467.74 | $758.58 |
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 $107.15 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $107.15 | $117.49 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $338.84 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $177.83 Typical High $190.55 | Professional | 26 · Professional part | $165.96 | $177.83 | $190.55 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $295.12 Typical High $891.25 | Professional | 26 · Professional part | $141.25 | $295.12 | $891.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $707.95 Typical High $5,623.41 | Professional | TC · Technical part | $346.74 | $707.95 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $346.74 | Professional | 26 · Professional part | $102.33 | $144.54 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $269.15 | $436.52 | $977.24 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $141.25 | $204.17 | $295.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $676.08 | Professional | TC · Technical part | $346.74 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $295.12 | Professional | 26 · Professional part | $95.50 | $112.20 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $354.81 | $891.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $102.33 | $138.04 | $208.93 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $331.13 | $537.03 |
Where Washington sits
The same service costs 5.8 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
$355
WY $1,349UT $234
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.