How much rates vary
Facilitymedian $1,023 · 10th to 90th $288 to $1,738Professionalmedian $398 · 10th to 90th $100 to $851
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 $537.03 Median $616.60 Typical High $1,819.70 | Facility | None | $537.03 | $616.60 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $478.63 | $537.03 | $1,288.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $1,023.29 Typical High $2,238.72 | Facility | None | $288.40 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,122.02 Typical High $6,165.95 | Professional | None (both parts) | $575.44 | $1,122.02 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Facility | None | $1,023.29 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $1,548.82 | Professional | None (both parts) | $426.58 | $645.65 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $154.88 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $154.88 | $630.96 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $97.72 | $354.81 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $645.65 Typical High $1,000.00 | Facility | None | $199.53 | $645.65 | $1,000.00 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $371.54 | Professional | None (both parts) | $123.03 | $123.03 | $371.54 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $562.34 | Facility | None | $371.54 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $794.33 Typical High $1,122.02 | Professional | None (both parts) | $575.44 | $794.33 | $1,122.02 |
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 $389.05 Median $489.78 Typical High $1,202.26 | Professional | None (both parts) | $389.05 | $489.78 | $1,202.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $398.11 | $537.03 | $870.96 |
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 $104.71 Median $114.82 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $114.82 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $269.15 Typical High $302.00 | Professional | 52 · Reduced service | $245.47 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $107.15 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $912.01 | Professional | TC · Technical part | $338.84 | $416.87 | $912.01 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $165.96 | $177.83 | $177.83 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $141.25 | $891.25 | $891.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $851.14 Typical High $5,623.41 | Professional | TC · Technical part | $426.58 | $851.14 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $100.00 | $141.25 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $501.19 Typical High $1,202.26 | Professional | TC · Technical part | $323.59 | $501.19 | $1,202.26 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $199.53 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $588.84 Typical High $831.76 | Professional | TC · Technical part | $426.58 | $588.84 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $288.40 | Professional | 26 · Professional part | $93.33 | $109.65 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $380.19 Typical High $954.99 | Professional | TC · Technical part | $295.12 | $380.19 | $954.99 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $134.90 | $204.17 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $295.12 | $407.38 | $660.69 |
Where Washington sits
The same service costs 6.0 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· 47th of 51
$398
WY $1,549UT $257
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.