How much rates vary
Facilitymedian $1,072 · 10th to 90th $141 to $1,698Professionalmedian $166 · 10th to 90th $43 to $316
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 $165.96 Median $165.96 Typical High $275.42 | Facility | None | $165.96 | $165.96 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $109.65 | $165.96 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $1,071.52 Typical High $2,238.72 | Facility | None | $100.00 | $1,071.52 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $190.55 | $891.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,412.54 | Facility | None | $512.86 | $1,096.48 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $125.89 | $181.97 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $40.74 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $40.74 | $134.90 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $144.54 Typical High $257.04 | Facility | None | $53.70 | $144.54 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,238.72 | Facility | None | $741.31 | $1,071.52 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $190.55 | $263.03 | $371.54 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $109.65 | $141.25 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $138.04 | $186.21 | $302.00 |
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 $24.55 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $25.12 | $33.11 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $134.90 | $154.88 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $173.78 Typical High $229.09 | Professional | 26 · Professional part | $37.15 | $173.78 | $229.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $724.44 Typical High $933.25 | Professional | TC · Technical part | $154.88 | $724.44 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $39.81 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $93.33 | $131.83 | $316.23 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $52.48 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $154.88 | $213.80 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $28.84 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $109.65 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $37.15 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $151.36 | $245.47 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in New York. 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· 19th of 51
$166
AK $398NY $95.50
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.