How much rates vary
Facilitymedian $513 · 10th to 90th $132 to $891Professionalmedian $166 · 10th to 90th $43 to $316
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 $173.78 Median $245.47 Typical High $933.25 | Facility | None | $173.78 | $245.47 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $120.23 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $512.86 Typical High $1,047.13 | Facility | None | $100.00 | $512.86 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $199.53 | $933.25 | $1,148.15 |
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 $138.04 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $138.04 | $208.93 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $52.48 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $52.48 | $151.36 | $309.03 |
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 $67.61 Median $165.96 Typical High $263.03 | Facility | None | $67.61 | $165.96 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $194.98 | Facility | None | $190.55 | $194.98 | $194.98 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $199.53 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $199.53 | $269.15 | $389.05 |
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 $128.82 Median $144.54 Typical High $363.08 | Professional | None (both parts) | $128.82 | $144.54 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $141.25 | $190.55 | $302.00 |
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 $31.62 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $67.61 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $34.67 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $125.89 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | 26 · Professional part | $69.18 | $69.18 | $74.13 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $269.15 Typical High $346.74 | Professional | 26 · Professional part | $57.54 | $269.15 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $141.25 | $660.69 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $57.54 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $147.91 | $281.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $83.18 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $141.25 | $190.55 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $112.20 | Professional | 26 · Professional part | $35.48 | $45.71 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $100.00 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $57.54 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $131.83 | $213.80 |
Where Washington sits
The same service costs 3.9 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· 21st of 51
$166
AK $407UT $105
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.