How much rates vary
Facilitymedian $537 · 10th to 90th $195 to $891Professionalmedian $269 · 10th to 90th $98 to $603
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 $316.23 Median $331.13 Typical High $891.25 | Facility | None | $316.23 | $331.13 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $954.99 | Professional | None (both parts) | $316.23 | $338.84 | $954.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $1,047.13 | Facility | None | $194.98 | $501.19 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $891.25 Typical High $3,162.28 | Professional | None (both parts) | $446.68 | $891.25 | $3,162.28 |
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 $323.59 Median $467.74 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $467.74 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $446.68 Typical High $794.33 | Professional | None (both parts) | $134.90 | $446.68 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $89.13 | $251.19 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $436.52 Typical High $724.44 | Facility | None | $158.49 | $436.52 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $436.52 Typical High $436.52 | Facility | None | $186.21 | $436.52 | $436.52 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
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 $446.68 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $446.68 | $616.60 | $891.25 |
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 $281.84 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $281.84 | $380.19 | $870.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $275.42 | $371.54 | $588.84 |
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 $85.11 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $97.72 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $223.87 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $223.87 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $691.83 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $645.65 Typical High $2,691.53 | Professional | TC · Technical part | $323.59 | $645.65 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $85.11 | $117.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $338.84 | $758.58 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $323.59 | $446.68 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $93.33 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $630.96 | Professional | TC · Technical part | $199.53 | $275.42 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $114.82 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $257.04 | $416.87 |
Where Washington sits
The same service costs 6.0 times more in Alaska than in Texas. 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
$269
AK $1,023TX $170
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.