How much rates vary
Facilitymedian $251 · 10th to 90th $39 to $437Professionalmedian $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 $38.90 Median $38.90 Typical High $436.52 | Facility | None | $38.90 | $38.90 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $11.48 | Facility | 26 · Professional part | $9.55 | $9.55 | $11.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $33.88 | Facility | TC · Technical part | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $29.51 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $9.55 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $28.84 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $28.18 | $44.67 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $13.49 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.99 Median $257.04 Typical High $524.81 | Facility | None | $23.99 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $44.67 | $208.93 | $275.42 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $23.99 Typical High $85.11 | Professional | 26 · Professional part | $11.48 | $23.99 | $85.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $33.11 | $177.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $331.13 | Facility | None | $125.89 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $33.11 | $47.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $12.30 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $70.79 | Professional | TC · Technical part | $22.91 | $33.11 | $70.79 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.88 Typical High $72.44 | Professional | None (both parts) | $12.88 | $33.88 | $72.44 |
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 $15.14 Median $46.77 Typical High $66.07 | Facility | None | $15.14 | $46.77 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Facility | None | $43.65 | $43.65 | $44.67 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $524.81 | Facility | None | $125.89 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $44.67 | $64.57 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $16.22 | $23.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $47.86 | $69.18 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $83.18 | Professional | None (both parts) | $29.51 | $34.67 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $9.12 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $61.66 | Professional | TC · Technical part | $20.89 | $25.70 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $33.11 | $44.67 | $72.44 |
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 $25.12 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $33.88 | $54.95 |
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 $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $15.85 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.31 | $7.76 | $8.91 |
Where Washington sits
The same service costs 3.8 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· 12th of 51
$52.48
AK $95.50FL $25.12
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.