How much rates vary
Facilitymedian $263 · 10th to 90th $34 to $437Professionalmedian $51 · 10th to 90th $26 to $91
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 $33.88 Median $36.31 Typical High $436.52 | Facility | None | $33.88 | $36.31 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $10.72 | Facility | 26 · Professional part | $8.32 | $8.32 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $28.18 | Facility | TC · Technical part | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $27.54 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.32 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $25.70 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $23.99 | $33.11 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $13.80 | Professional | 26 · Professional part | $11.75 | $12.88 | $13.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $21.38 Median $257.04 Typical High $524.81 | Facility | None | $21.38 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $38.90 | $181.97 | $251.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $10.23 | $20.89 | $70.79 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $28.84 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $331.13 | Facility | None | $125.89 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $30.90 | $42.66 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $10.72 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $61.66 | Professional | TC · Technical part | $21.88 | $30.90 | $61.66 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $11.22 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $11.22 | $31.62 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.30 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $8.91 Median $31.62 Typical High $54.95 | Facility | None | $8.91 | $31.62 | $54.95 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $41.69 | Professional | None (both parts) | $14.45 | $14.45 | $41.69 |
Premera BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Facility | None | $38.02 | $38.02 | $38.90 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $29.51 | $29.51 | $29.51 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $524.81 | Facility | None | $125.89 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $38.90 | $56.23 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $14.45 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $41.69 | $58.88 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $26.30 | $30.20 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $20.42 | Professional | 26 · Professional part | $7.76 | $8.13 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $22.39 | $53.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $29.51 | $40.74 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $10.47 | $15.85 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $29.51 | $48.98 |
2 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 52 · Reduced service Typical Low $14.13 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $5.75 | $6.76 | $7.94 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 9th of 51
$51.29
AK $83.18FL $22.39
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.