How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $181.97 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $63.10 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $117.49 | $128.82 | $141.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $141.25 | Facility | None | $117.49 | $117.49 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $223.87 | $1,023.29 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $77.62 | $794.33 | $794.33 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $831.76 Typical High $912.01 | Professional | TC · Technical part | $144.54 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $190.55 | $245.47 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $87.10 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $158.49 | $302.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $91.20 | $194.98 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $10.23 | $50.12 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $186.21 Typical High $316.23 | Facility | None | $67.61 | $186.21 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $223.87 | $323.59 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $109.65 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $204.17 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $158.49 | $190.55 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $63.10 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $131.83 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $74.13 | $112.20 |
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 $91.20 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $38.90 | $44.67 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 25th of 51
$195
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.