How much rates vary
Facilitymedian $513 · 10th to 90th $91 to $933Professionalmedian $162 · 10th to 90th $43 to $309
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 $151.36 Median $190.55 Typical High $933.25 | Facility | None | $151.36 | $190.55 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $112.20 | $151.36 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $213.80 | $213.80 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $489.78 Typical High $1,047.13 | Facility | None | $63.10 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $812.83 Typical High $1,047.13 | Professional | None (both parts) | $173.78 | $812.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $741.31 | Facility | None | $426.58 | $524.81 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $123.03 | $181.97 | $346.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $51.29 Median $128.82 Typical High $275.42 | Professional | None (both parts) | $51.29 | $128.82 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $218.78 | Facility | None | $56.23 | $114.82 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $1,047.13 | Facility | None | $354.81 | $512.86 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $173.78 | $239.88 | $346.74 |
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 $114.82 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $114.82 | $128.82 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $125.89 | $169.82 | $275.42 |
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 $31.62 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $42.66 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $30.20 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $107.15 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $52.48 | $239.88 | $316.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $123.03 | $575.44 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $83.18 | $125.89 | $245.47 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $74.13 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $165.96 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $41.69 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $89.13 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $51.29 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $120.23 | $194.98 |
Where Washington sits
The same service costs 3.7 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· 18th of 51
$162
AK $363FL $97.72
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.