How much rates vary
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 $218.78 Median $457.09 Typical High $1,778.28 | Facility | None | $218.78 | $457.09 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $389.05 | $446.68 | $933.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $575.44 Median $660.69 Typical High $758.58 | Professional | None (both parts) | $575.44 | $660.69 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $1,023.29 Typical High $2,238.72 | Facility | None | $251.19 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $2,344.23 Typical High $2,884.03 | Professional | None (both parts) | $501.19 | $2,344.23 | $2,884.03 |
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 $363.08 Median $467.74 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $467.74 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $147.91 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $147.91 | $478.63 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $95.50 | $323.59 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $489.78 Typical High $707.95 | Facility | None | $169.82 | $489.78 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $489.78 | Facility | None | $371.54 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
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 $501.19 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $501.19 | $691.83 | $977.24 |
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 $316.23 Median $389.05 Typical High $954.99 | Professional | None (both parts) | $316.23 | $389.05 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $354.81 | $478.63 | $758.58 |
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 $107.15 Median $107.15 Typical High $123.03 | Facility | 26 · Professional part | $107.15 | $107.15 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $380.19 | Facility | TC · Technical part | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $107.15 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $346.74 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $104.71 | $154.88 | $173.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $602.56 Typical High $776.25 | Professional | 26 · Professional part | $128.82 | $602.56 | $776.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $707.95 Typical High $2,884.03 | Professional | TC · Technical part | $371.54 | $707.95 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $316.23 | Professional | 26 · Professional part | $93.33 | $131.83 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $346.74 | $891.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $186.21 | $269.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $371.54 | $501.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $102.33 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $288.40 | $691.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $125.89 | $190.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $346.74 | $575.44 |
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· 45th of 51
$355
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.