How much rates vary
Facilitymedian $302 · 10th to 90th $59 to $490Professionalmedian $59 · 10th to 90th $29 to $105
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 $58.88 Median $58.88 Typical High $416.87 | Facility | None | $58.88 | $58.88 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $46.77 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $16.98 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $42.66 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $131.83 | Professional | None (both parts) | $46.77 | $46.77 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $24.55 | $25.12 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $309.03 Typical High $630.96 | Facility | None | $37.15 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $69.18 | $323.59 | $426.58 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $43.65 Typical High $134.90 | Professional | 26 · Professional part | $20.89 | $43.65 | $134.90 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $47.86 | $251.19 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $52.48 | $74.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $22.39 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $47.86 | $102.33 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $22.91 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $22.91 | $53.70 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $18.20 Median $54.95 Typical High $97.72 | Facility | None | $18.20 | $54.95 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Facility | None | $67.61 | $67.61 | $69.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $630.96 | Facility | None | $204.17 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $69.18 | $97.72 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $29.51 | $43.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $69.18 | $97.72 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $128.82 | Professional | None (both parts) | $47.86 | $53.70 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $15.85 | $16.60 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $89.13 | Professional | TC · Technical part | $31.62 | $37.15 | $89.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $51.29 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $51.29 | $69.18 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $20.42 | $30.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $48.98 | $79.43 |
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 $24.55 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $9.77 | $12.02 | $13.80 |
Where Washington sits
The same service costs 4.5 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· 24th of 51
$58.88
AK $148UT $33.11
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.