How much rates vary
Facilitymedian $5,012 · 10th to 90th $91 to $7,586Professionalmedian $126 · 10th to 90th $43 to $302
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 $134.90 Median $223.87 Typical High $3,162.28 | Facility | None | $134.90 | $223.87 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $125.89 | $134.90 | $165.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $5,011.87 Typical High $7,413.10 | Facility | None | $91.20 | $5,011.87 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $154.88 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $7,079.46 | Facility | None | $3,311.31 | $5,623.41 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $114.82 | $165.96 | $323.59 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $57.54 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $57.54 | $120.23 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $120.23 Typical High $218.78 | Facility | None | $70.79 | $120.23 | $218.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $83.18 | $83.18 | $151.36 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $7,413.10 | Facility | None | $3,715.35 | $5,370.32 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $154.88 | $218.78 | $309.03 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $7,413.10 Typical High $8,912.51 | Facility | None | $5,754.40 | $7,413.10 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $104.71 | $123.03 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $125.89 | $169.82 | $275.42 |
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 $40.74 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $26.92 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $89.13 | $102.33 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $575.44 | Professional | 26 · Professional part | $54.95 | $112.20 | $575.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $204.17 Typical High $1,819.70 | Professional | TC · Technical part | $100.00 | $204.17 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $58.88 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $64.57 | $97.72 | $223.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $77.62 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $141.25 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $43.65 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $77.62 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $54.95 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $117.49 | $190.55 |
Where Washington sits
The same service costs 4.0 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· 39th of 51
$129
AK $339FL $85.11
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.