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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $331.13 | Professional | None (both parts) | $208.93 | $316.23 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $354.81 Typical High $812.83 | Facility | None | $154.88 | $354.81 | $812.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,698.24 Typical High $2,398.83 | Professional | None (both parts) | $363.08 | $1,698.24 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $562.34 | Facility | None | $123.03 | $190.55 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $245.47 | $245.47 | $588.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $107.15 | $223.87 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $89.13 | $239.88 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $512.86 | Facility | None | $162.18 | $269.15 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $199.53 | Facility | None | $58.88 | $112.20 | $199.53 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 $363.08 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $363.08 | $363.08 | $602.56 |
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 $208.93 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $208.93 | $251.19 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $288.40 | $389.05 | $630.96 |
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 $91.20 Median $112.20 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $181.97 Typical High $251.19 | Professional | FX · Film X-ray | $128.82 | $181.97 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $204.17 | $204.17 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $630.96 Typical High $851.14 | Professional | 26 · Professional part | $138.04 | $630.96 | $851.14 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $223.87 | $1,047.13 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $120.23 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $125.89 | $354.81 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $138.04 | $138.04 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $223.87 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $107.15 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $147.91 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $141.25 | $213.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $251.19 | $416.87 |
Where Washington sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$251
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.