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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $151.36 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $22.91 | $25.70 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $169.82 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $537.03 Typical High $1,047.13 | Facility | None | $114.82 | $537.03 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $218.78 | $1,023.29 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $66.07 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $66.07 | $229.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $186.21 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $741.31 | Facility | None | $512.86 | $537.03 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $151.36 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $33.88 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $186.21 | $371.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $35.48 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $35.48 | $173.78 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $104.71 | $213.80 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $154.88 Typical High $281.84 | Facility | None | $39.81 | $154.88 | $281.84 |
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 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $218.78 | $295.12 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $44.67 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $251.19 | $363.08 |
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 $138.04 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $138.04 | $158.49 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $25.70 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $134.90 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $158.49 | $213.80 | $346.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $30.90 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $181.97 | $302.00 |
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 $75.86 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $75.86 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $30.20 | $38.90 | $44.67 |
Where Washington sits
The same service costs 3.8 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· 14th of 51
$219
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.