How much rates vary
Facilitymedian $1,023 · 10th to 90th $245 to $1,698Professionalmedian $380 · 10th to 90th $98 to $776
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $457.09 | $457.09 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $1,023.29 Typical High $2,238.72 | Facility | None | $245.47 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $954.99 Typical High $3,467.37 | Professional | None (both parts) | $489.78 | $954.99 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Facility | None | $1,023.29 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $371.54 | $549.54 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $117.49 Median $562.34 Typical High $912.01 | Professional | None (both parts) | $117.49 | $562.34 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $97.72 | $338.84 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $512.86 Typical High $776.25 | Facility | None | $125.89 | $512.86 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $478.63 | Facility | None | $371.54 | $478.63 | $478.63 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,238.72 | Facility | None | $758.58 | $1,096.48 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $489.78 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $489.78 | $676.08 | $954.99 |
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 $338.84 Median $426.58 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $426.58 | $1,000.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $346.74 | $467.74 | $741.31 |
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 $87.10 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $87.10 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $371.54 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $549.54 Typical High $616.60 | Professional | 26 · Professional part | $107.15 | $549.54 | $616.60 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $758.58 Typical High $3,019.95 | Professional | TC · Technical part | $380.19 | $758.58 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $104.71 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $288.40 | $426.58 | $1,071.52 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $107.15 | $151.36 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $380.19 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $83.18 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $338.84 | $812.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $102.33 | $154.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $269.15 | $363.08 | $588.84 |
Where Washington sits
The same service costs 5.4 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· 46th of 51
$380
WY $1,318UT $245
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.