How much rates vary
Facilitymedian $309 · 10th to 90th $40 to $501Professionalmedian $52 · 10th to 90th $27 to $93
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 $39.81 Median $39.81 Typical High $56.23 | Facility | None | $39.81 | $39.81 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $29.51 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $7.41 | $9.12 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $30.20 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $14.13 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.12 Median $309.03 Typical High $630.96 | Facility | None | $25.12 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $45.71 | $208.93 | $295.12 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.99 Typical High $85.11 | Professional | 26 · Professional part | $10.96 | $23.99 | $85.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $33.88 | $158.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $97.72 | Professional | None (both parts) | $33.11 | $47.86 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $74.13 | Professional | TC · Technical part | $22.91 | $33.11 | $74.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $12.88 | $33.88 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.30 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $48.98 Typical High $66.07 | Facility | None | $14.79 | $48.98 | $66.07 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $50.12 | Professional | None (both parts) | $16.22 | $16.22 | $50.12 |
Premera BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Facility | None | $44.67 | $44.67 | $45.71 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $45.71 | $64.57 | $95.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $10.96 | $15.85 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $50.12 | $70.79 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $85.11 | Professional | None (both parts) | $28.84 | $36.31 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $8.51 | $9.12 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $64.57 | Professional | TC · Technical part | $21.38 | $26.30 | $64.57 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $35.48 | $47.86 | $75.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $36.31 | $58.88 |
2 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 52 · Reduced service Typical Low $15.85 Median $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $15.85 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $6.31 | $7.94 | $9.12 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 11th of 51
$52.48
AK $95.50FL $25.70
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.