How much rates vary
Facilitymedian $2,089 · 10th to 90th $85 to $3,388Professionalmedian $117 · 10th to 90th $39 to $240
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $123.03 | $141.25 | $162.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $2,137.96 Typical High $4,570.88 | Facility | None | $77.62 | $2,137.96 | $4,570.88 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $162.18 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $2,951.21 | Facility | None | $1,412.54 | $2,290.87 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $114.82 | $165.96 | $316.23 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $63.10 | $123.03 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $33.88 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $208.93 | Facility | None | $70.79 | $112.20 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $158.49 | Facility | None | $147.91 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $4,570.88 | Facility | None | $1,380.38 | $2,238.72 | $4,570.88 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $162.18 | $213.80 | $302.00 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,019.95 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $112.20 | $131.83 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $107.15 | $144.54 | $229.09 |
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 $43.65 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $28.18 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $95.50 | Professional | TC · Technical part | $74.13 | $89.13 | $95.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $123.03 Typical High $354.81 | Professional | 26 · Professional part | $61.66 | $123.03 | $354.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $1,000.00 | Professional | TC · Technical part | $102.33 | $190.55 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $61.66 | $97.72 | $199.53 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $85.11 | $120.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $128.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $48.98 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $79.43 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $57.54 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $89.13 | $144.54 |
Where Washington sits
The same service costs 4.6 times more in Alaska 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· 43rd of 51
$117
AK $347UT $75.86
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.