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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $776.25 | Professional | None (both parts) | $416.87 | $416.87 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $1,023.29 Typical High $2,238.72 | Facility | None | $223.87 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $3,467.37 Typical High $3,630.78 | Professional | None (both parts) | $446.68 | $3,467.37 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,023.29 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $1,202.26 | Professional | None (both parts) | $346.74 | $524.81 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $125.89 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $125.89 | $512.86 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $91.20 | $302.00 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $407.38 Typical High $870.96 | Facility | None | $131.83 | $407.38 | $870.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $467.74 | Professional | None (both parts) | $169.82 | $169.82 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $436.52 | Facility | None | $371.54 | $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 $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 $446.68 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $446.68 | $616.60 | $870.96 |
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 $302.00 Median $426.58 Typical High $954.99 | Professional | None (both parts) | $302.00 | $426.58 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $316.23 | $426.58 | $676.08 |
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 $93.33 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $93.33 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $83.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $323.59 | $323.59 | $537.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $234.42 Typical High $691.83 | Professional | 26 · Professional part | $112.20 | $234.42 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $3,019.95 Typical High $3,090.30 | Professional | TC · Technical part | $331.13 | $3,019.95 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $81.28 | $112.20 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $407.38 | $933.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
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 $112.20 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $158.49 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $457.09 Typical High $645.65 | Professional | TC · Technical part | $331.13 | $457.09 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $234.42 | Professional | 26 · Professional part | $75.86 | $89.13 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $741.31 | Professional | TC · Technical part | $229.09 | $338.84 | $741.31 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $107.15 | $162.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $316.23 | $512.86 |
Where Washington sits
The same service costs 5.6 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· 47th of 51
$347
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.