How much rates vary
Facilitymedian $1,000 · 10th to 90th $339 to $1,778Professionalmedian $398 · 10th to 90th $100 to $851
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 $489.78 Median $1,445.44 Typical High $1,819.70 | Facility | None | $489.78 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $1,122.02 | Professional | None (both parts) | $436.52 | $489.78 | $1,122.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $1,023.29 Typical High $2,238.72 | Facility | None | $281.84 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $2,570.40 Typical High $3,235.94 | Professional | None (both parts) | $549.54 | $2,570.40 | $3,235.94 |
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 $407.38 Median $524.81 Typical High $1,318.26 | Professional | None (both parts) | $407.38 | $524.81 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $158.49 Median $562.34 Typical High $977.24 | Professional | None (both parts) | $158.49 | $562.34 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $97.72 | $354.81 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $467.74 Typical High $758.58 | Facility | None | $177.83 | $467.74 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $537.03 | Facility | None | $371.54 | $537.03 | $537.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $549.54 Median $758.58 Typical High $1,096.48 | Professional | None (both parts) | $549.54 | $758.58 | $1,096.48 |
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 $346.74 Median $467.74 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $467.74 | $1,096.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $398.11 | $537.03 | $851.14 |
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 Facility Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $134.90 | Facility | 26 · Professional part | $117.49 | $117.49 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $426.58 | Facility | TC · Technical part | $380.19 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $117.49 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $331.13 | $380.19 | $870.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $181.97 Typical High $190.55 | Professional | 26 · Professional part | $169.82 | $181.97 | $190.55 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $660.69 Typical High $831.76 | Professional | 26 · Professional part | $141.25 | $660.69 | $831.76 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $2,089.30 Typical High $2,398.83 | Professional | TC · Technical part | $407.38 | $2,089.30 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $102.33 | $141.25 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $977.24 | Professional | TC · Technical part | $302.00 | $407.38 | $977.24 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $199.53 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $562.34 Typical High $812.83 | Professional | TC · Technical part | $407.38 | $562.34 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $288.40 | Professional | 26 · Professional part | $95.50 | $112.20 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $354.81 | $794.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $102.33 | $138.04 | $208.93 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $295.12 | $398.11 | $645.65 |
Where Washington sits
The same service costs 5.0 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· 47th of 51
$398
AK $1,288UT $257
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.