How much rates vary
Facilitymedian $562 · 10th to 90th $195 to $933Professionalmedian $269 · 10th to 90th $98 to $603
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 $316.23 Median $512.86 Typical High $933.25 | Facility | None | $316.23 | $512.86 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $316.23 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $1,047.13 | Facility | None | $194.98 | $501.19 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $870.96 Typical High $2,951.21 | Professional | None (both parts) | $426.58 | $870.96 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $812.83 | Facility | None | $512.86 | $562.34 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $446.68 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $131.83 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $131.83 | $436.52 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $89.13 | $251.19 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $426.58 Typical High $660.69 | Facility | None | $138.04 | $426.58 | $660.69 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $194.98 | $194.98 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $426.58 Typical High $426.58 | Facility | None | $186.21 | $426.58 | $426.58 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $870.96 | Professional | None (both parts) | $426.58 | $602.56 | $870.96 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Facility | None | $512.86 | $676.08 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $870.96 | Professional | None (both parts) | $281.84 | $346.74 | $870.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $269.15 | $363.08 | $588.84 |
17 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 $85.11 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $95.50 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $218.78 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $147.91 | $147.91 | $154.88 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $537.03 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $537.03 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $630.96 Typical High $2,454.71 | Professional | TC · Technical part | $316.23 | $630.96 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $117.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $234.42 | $323.59 | $812.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $436.52 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $234.42 | Professional | 26 · Professional part | $77.62 | $91.20 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $257.04 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $112.20 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $257.04 | $416.87 |
Where Washington sits
The same service costs 6.0 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· 47th of 51
$269
AK $1,000UT $166
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.