How much rates vary
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 $37.15 Median $43.65 Typical High $549.54 | Facility | None | $37.15 | $43.65 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $12.02 | Facility | 26 · Professional part | $9.12 | $9.12 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $33.11 | Facility | TC · Technical part | $28.18 | $28.18 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $27.54 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $9.12 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $28.18 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $61.66 Typical High $64.57 | Professional | None (both parts) | $24.55 | $61.66 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $12.30 Typical High $13.49 | Professional | 26 · Professional part | $3.63 | $12.30 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $38.90 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.38 Median $295.12 Typical High $630.96 | Facility | None | $17.38 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $42.66 | $199.53 | $269.15 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $10.96 | $63.10 | $67.61 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $31.62 | $154.88 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $32.36 | $46.77 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.75 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $67.61 | Professional | TC · Technical part | $22.91 | $33.11 | $67.61 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.02 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $12.02 | $31.62 | $70.79 |
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 $14.45 Median $40.74 Typical High $57.54 | Facility | None | $14.45 | $40.74 | $57.54 |
Premera BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Facility | None | $41.69 | $41.69 | $43.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $42.66 | $61.66 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.49 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $46.77 | $66.07 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $26.92 | $33.11 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $8.71 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $24.55 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $32.36 | $43.65 | $70.79 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.11 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $33.11 | $53.70 |
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 $15.14 Median $18.62 Typical High $21.88 | Professional | 52 · Reduced service | $15.14 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.41 Typical High $8.71 | Professional | 53 · Discontinued | $6.03 | $7.41 | $8.71 |
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· 9th of 51
$52.48
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.