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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $30.90 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $10.23 | $11.48 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $23.99 | Professional | TC · Technical part | $20.89 | $23.44 | $23.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $23.99 | Facility | None | $15.49 | $19.95 | $23.99 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $79.43 Typical High $323.59 | Professional | None (both parts) | $39.81 | $79.43 | $323.59 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $13.80 | $85.11 | $131.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $52.48 Typical High $295.12 | Professional | TC · Technical part | $25.70 | $52.48 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $33.11 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $14.79 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $28.18 | $53.70 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $15.14 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $15.14 | $33.88 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.03 Median $44.67 Typical High $50.12 | Professional | None (both parts) | $6.03 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $29.51 Typical High $56.23 | Facility | None | $12.02 | $29.51 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $38.90 | Facility | None | $38.02 | $38.90 | $38.90 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $24.55 | $24.55 | $24.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $39.81 | $56.23 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $19.05 | $28.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $35.48 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $144.54 | Professional | None (both parts) | $47.86 | $54.95 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.22 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $11.22 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $114.82 | Professional | TC · Technical part | $37.15 | $44.67 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $12.88 | $19.50 |
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 $15.49 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $6.92 | $8.13 |
Where Washington sits
The same service costs 4.7 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· 19th of 51
$47.86
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.