How much rates vary
Facilitymedian $479 · 10th to 90th $126 to $851Professionalmedian $186 · 10th to 90th $45 to $398
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 $218.78 Median $229.09 Typical High $912.01 | Facility | None | $218.78 | $229.09 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | None (both parts) | $218.78 | $218.78 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $1,047.13 | Facility | None | $125.89 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,659.59 Typical High $1,737.80 | Professional | None (both parts) | $239.88 | $1,659.59 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $933.25 | Facility | None | $512.86 | $562.34 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $707.95 | Professional | None (both parts) | $190.55 | $295.12 | $707.95 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $85.11 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $85.11 | $263.03 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $42.66 | $165.96 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $446.68 | Facility | None | $89.13 | $229.09 | $446.68 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $114.82 | $114.82 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $234.42 | Facility | None | $186.21 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $239.88 | $338.84 | $478.63 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Facility | None | $512.86 | $676.08 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $165.96 | $223.87 | $501.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $173.78 | $234.42 | $371.54 |
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 $53.70 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $61.66 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 52 · Reduced service | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $43.65 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $154.88 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 26 · Professional part | $89.13 | $89.13 | $95.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $380.19 Typical High $446.68 | Professional | 26 · Professional part | $75.86 | $380.19 | $446.68 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $1,348.96 Typical High $1,380.38 | Professional | TC · Technical part | $162.18 | $1,348.96 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $75.86 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $524.81 | Professional | TC · Technical part | $131.83 | $218.78 | $524.81 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $162.18 | $229.09 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $58.88 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $165.96 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $72.44 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $158.49 | $263.03 |
Where Washington sits
The same service costs 5.4 times more in Alaska 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· 48th of 51
$186
AK $676UT $126
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.