How much rates vary
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,122.02 | Professional | None (both parts) | $457.09 | $457.09 | $1,122.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $354.81 | Facility | None | $251.19 | $302.00 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $3,019.95 Typical High $3,162.28 | Professional | None (both parts) | $489.78 | $3,019.95 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $758.58 Typical High $1,380.38 | Facility | None | $741.31 | $758.58 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $371.54 | $537.03 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $128.82 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $128.82 | $549.54 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $97.72 | $338.84 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $512.86 Typical High $724.44 | Facility | None | $151.36 | $512.86 | $724.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $575.44 | Professional | None (both parts) | $177.83 | $177.83 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $489.78 | $691.83 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $426.58 | $1,023.29 |
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 |
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 $95.50 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $95.50 | $181.97 |
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 $363.08 Typical High $794.33 | Professional | TC · Technical part | $338.84 | $363.08 | $794.33 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $616.60 Typical High $676.08 | Professional | 26 · Professional part | $114.82 | $616.60 | $676.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $2,570.40 Typical High $2,691.53 | Professional | TC · Technical part | $371.54 | $2,570.40 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $114.82 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $1,023.29 | Professional | TC · Technical part | $288.40 | $416.87 | $1,023.29 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $114.82 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $371.54 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $91.20 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $331.13 | $776.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $112.20 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $269.15 | $363.08 | $588.84 |
Where Washington sits
The same service costs 5.6 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· 46th of 51
$380
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.