How much rates vary
Facilitymedian $676 · 10th to 90th $229 to $1,175Professionalmedian $389 · 10th to 90th $56 to $724
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 $354.81 Median $1,071.52 Typical High $1,202.26 | Facility | None | $354.81 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $1,000.00 | Professional | None (both parts) | $354.81 | $371.54 | $1,000.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $575.44 Median $588.84 Typical High $602.56 | Professional | None (both parts) | $575.44 | $588.84 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $676.08 Typical High $1,412.54 | Facility | None | $229.09 | $676.08 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $2,884.03 Typical High $3,019.95 | Professional | None (both parts) | $446.68 | $2,884.03 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,122.02 | Facility | None | $524.81 | $524.81 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $331.13 | $501.19 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $97.72 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $97.72 | $512.86 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $53.70 | $363.08 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $478.63 Typical High $707.95 | Facility | None | $114.82 | $478.63 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $436.52 Typical High $436.52 | Facility | None | $251.19 | $436.52 | $436.52 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,412.54 | Facility | None | $478.63 | $707.95 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $446.68 | $616.60 | $870.96 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $302.00 | $380.19 | $912.01 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $316.23 | $426.58 | $691.83 |
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 $72.44 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $77.62 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $281.84 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $104.71 | $112.20 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $467.74 Typical High $524.81 | Professional | 26 · Professional part | $89.13 | $467.74 | $524.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $2,511.89 Typical High $2,570.40 | Professional | TC · Technical part | $354.81 | $2,511.89 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $89.13 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $1,000.00 | Professional | TC · Technical part | $275.42 | $398.11 | $1,000.00 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $125.89 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $354.81 | $489.78 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $69.18 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $309.03 | $758.58 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $338.84 | $562.34 |
Where Washington sits
The same service costs 5.1 times more in Wyoming 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· 39th of 51
$398
WY $1,202UT $234
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.