How much rates vary
Facilitymedian $550 · 10th to 90th $191 to $891Professionalmedian $170 · 10th to 90th $43 to $324
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 $190.55 Median $812.83 Typical High $933.25 | Facility | None | $190.55 | $812.83 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $123.03 | $190.55 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $512.86 Typical High $1,047.13 | Facility | None | $112.20 | $512.86 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $218.78 | $1,023.29 | $1,288.25 |
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 $158.49 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $158.49 | $229.09 | $436.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $52.48 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $52.48 | $181.97 | $346.74 |
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 $66.07 Median $169.82 Typical High $295.12 | Facility | None | $66.07 | $169.82 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $213.80 | Facility | None | $208.93 | $213.80 | $213.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
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 $218.78 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $218.78 | $302.00 | $426.58 |
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 $147.91 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $147.91 | $162.18 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $154.88 | $208.93 | $331.13 |
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 $54.95 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $74.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $38.02 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $134.90 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $67.61 | $309.03 | $398.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $707.95 Typical High $870.96 | Professional | TC · Technical part | $151.36 | $707.95 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $58.88 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $158.49 | $309.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $95.50 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $208.93 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $52.48 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $114.82 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $64.57 | $97.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $144.54 | $234.42 |
Where Washington sits
The same service costs 4.3 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· 29th of 51
$170
AK $447UT $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.