How much rates vary
Facilitymedian $490 · 10th to 90th $135 to $832Professionalmedian $240 · 10th to 90th $50 to $479
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 $251.19 Median $251.19 Typical High $831.76 | Facility | None | $251.19 | $251.19 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $741.31 | Professional | None (both parts) | $251.19 | $251.19 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $489.78 Typical High $1,047.13 | Facility | None | $144.54 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $2,041.74 Typical High $2,187.76 | Professional | None (both parts) | $281.84 | $2,041.74 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,096.48 | Facility | None | $512.86 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $229.09 | $363.08 | $851.14 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $89.13 | $323.59 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $47.86 | $218.78 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $281.84 Typical High $398.11 | Facility | None | $85.11 | $281.84 | $398.11 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $120.23 | $120.23 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $275.42 | Facility | None | $186.21 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
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 $281.84 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $281.84 | $398.11 | $562.34 |
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 $199.53 Median $281.84 Typical High $616.60 | Professional | None (both parts) | $199.53 | $281.84 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $204.17 | $275.42 | $436.52 |
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 $56.23 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $64.57 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $190.55 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $42.66 | $104.71 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $398.11 Typical High $467.74 | Professional | 26 · Professional part | $79.43 | $398.11 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $1,698.24 Typical High $1,862.09 | Professional | TC · Technical part | $199.53 | $1,698.24 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $79.43 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $281.84 | $645.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $112.20 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $61.66 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $147.91 | $208.93 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $75.86 | $114.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $199.53 | $323.59 |
Where Washington sits
The same service costs 5.1 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· 44th of 51
$240
AK $776UT $151
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.