How much rates vary
Facilitymedian $240 · 10th to 90th $19 to $380Professionalmedian $31 · 10th to 90th $21 to $174
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 $19.95 Median $25.70 Typical High $31.62 | Facility | None | $19.95 | $25.70 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $54.95 | Professional | None (both parts) | $21.38 | $25.70 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $8.32 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.38 Typical High $36.31 | Professional | TC · Technical part | $14.79 | $17.38 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $22.91 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $257.04 Typical High $524.81 | Facility | None | $16.22 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $29.51 | $173.78 | $186.21 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $20.89 Typical High $75.86 | Professional | 26 · Professional part | $10.23 | $20.89 | $75.86 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $19.50 | $125.89 | $147.91 |
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 $25.70 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $25.70 | $33.11 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $8.13 | $10.96 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $21.88 | $41.69 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $11.22 Median $25.70 Typical High $51.29 | Professional | None (both parts) | $11.22 | $25.70 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.68 Median $9.77 Typical High $14.79 | Professional | None (both parts) | $4.68 | $9.77 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $12.88 Median $24.55 Typical High $42.66 | Facility | None | $12.88 | $24.55 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Facility | None | $28.84 | $28.84 | $29.51 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
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 $29.51 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $29.51 | $42.66 | $61.66 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $14.45 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $28.18 | $40.74 |
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 $21.88 Median $23.99 Typical High $56.23 | Professional | None (both parts) | $21.88 | $23.99 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $8.13 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.85 Typical High $37.15 | Professional | TC · Technical part | $13.80 | $15.85 | $37.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $22.39 | $30.20 | $47.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $10.00 | $15.14 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $15.14 | $20.42 | $33.11 |
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 $11.75 Median $12.88 Typical High $14.79 | Professional | 52 · Reduced service | $11.75 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $6.03 | Professional | 53 · Discontinued | $4.68 | $5.13 | $6.03 |
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· 15th of 51
$31.62
AK $64.57FL $17.38
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.