How much rates vary
Facilitymedian $1,820 · 10th to 90th $234 to $3,981Professionalmedian $347 · 10th to 90th $98 to $741
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 $436.52 Median $3,630.78 Typical High $4,168.69 | Facility | None | $436.52 | $3,630.78 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $436.52 | $1,023.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $602.56 | $616.60 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $2,137.96 Typical High $4,570.88 | Facility | None | $234.42 | $2,137.96 | $4,570.88 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $912.01 Typical High $3,467.37 | Professional | None (both parts) | $457.09 | $912.01 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,818.38 | Facility | None | $954.99 | $1,513.56 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $512.86 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $117.49 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $117.49 | $524.81 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $95.50 | $323.59 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $512.86 Typical High $812.83 | Facility | None | $147.91 | $512.86 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $4,570.88 | Facility | None | $1,318.26 | $2,238.72 | $4,570.88 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $457.09 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $457.09 | $630.96 | $912.01 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,019.95 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $954.99 | Professional | None (both parts) | $316.23 | $398.11 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $323.59 | $436.52 | $707.95 |
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 $169.82 | Professional | 26 · Professional part | $87.10 | $87.10 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $87.10 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $338.84 | $346.74 | $776.25 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $616.60 Typical High $630.96 | Professional | 26 · Professional part | $107.15 | $616.60 | $630.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $707.95 Typical High $3,019.95 | Professional | TC · Technical part | $354.81 | $707.95 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $257.04 | Professional | 26 · Professional part | $75.86 | $107.15 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $398.11 Typical High $977.24 | Professional | TC · Technical part | $269.15 | $398.11 | $977.24 |
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 $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 $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 $354.81 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $354.81 | $489.78 | $676.08 |
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 $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 $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 $251.19 Median $338.84 Typical High $549.54 | Professional | TC · Technical part | $251.19 | $338.84 | $549.54 |
Where Washington sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$347
WY $1,259TX $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.