How much rates vary
Facilitymedian $1,000 · 10th to 90th $195 to $1,514Professionalmedian $302 · 10th to 90th $98 to $617
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $1,288.25 | Professional | None (both parts) | $354.81 | $354.81 | $1,288.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $1,023.29 Typical High $2,238.72 | Facility | None | $194.98 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $758.58 Typical High $3,467.37 | Professional | None (both parts) | $380.19 | $758.58 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,348.96 | Facility | None | $562.34 | $562.34 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $467.74 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $117.49 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $117.49 | $436.52 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $89.13 | $275.42 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $891.25 | Facility | None | $141.25 | $416.87 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $380.19 | Facility | None | $354.81 | $380.19 | $380.19 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,238.72 | Facility | None | $758.58 | $1,096.48 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $380.19 | $537.03 | $758.58 |
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 $263.03 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $263.03 | $371.54 | $851.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $269.15 | $363.08 | $588.84 |
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 $87.10 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $87.10 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $1,122.02 | Professional | TC · Technical part | $269.15 | $269.15 | $1,122.02 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $218.78 Typical High $630.96 | Professional | 26 · Professional part | $104.71 | $218.78 | $630.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $562.34 Typical High $3,019.95 | Professional | TC · Technical part | $275.42 | $562.34 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $104.71 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $354.81 Typical High $776.25 | Professional | TC · Technical part | $213.80 | $354.81 | $776.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $147.91 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $380.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $83.18 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $616.60 | Professional | TC · Technical part | $190.55 | $288.40 | $616.60 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $102.33 | $151.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $263.03 | $436.52 |
Where Washington sits
The same service costs 5.5 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· 48th of 51
$302
WY $1,047UT $191
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.