How much rates vary
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 $177.83 Median $177.83 Typical High $295.12 | Facility | None | $177.83 | $177.83 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $120.23 | $177.83 | $218.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $1,071.52 Typical High $2,238.72 | Facility | None | $87.10 | $1,071.52 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $954.99 Typical High $1,023.29 | Professional | None (both parts) | $204.17 | $954.99 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,548.82 | Facility | None | $933.25 | $1,148.15 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $138.04 | $186.21 | $331.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $42.66 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $42.66 | $144.54 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $213.80 | Facility | None | $58.88 | $151.36 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $204.17 | Facility | None | $151.36 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,238.72 | Facility | None | $741.31 | $1,071.52 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $204.17 | $229.09 | $323.59 |
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 $114.82 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $114.82 | $138.04 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $123.03 | $165.96 | $263.03 |
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 $25.70 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $147.91 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $245.47 Typical High $269.15 | Professional | 26 · Professional part | $38.90 | $245.47 | $269.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $794.33 | Professional | TC · Technical part | $158.49 | $257.04 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $43.65 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $104.71 | $134.90 | $251.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $58.88 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $165.96 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $32.36 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $109.65 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $42.66 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $120.23 | $199.53 |
Where Washington sits
The same service costs 3.5 times more in Alaska 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· 18th of 51
$162
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.