How much rates vary
Facilitymedian $1,072 · 10th to 90th $115 to $1,698Professionalmedian $162 · 10th to 90th $40 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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $154.88 | $169.82 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $1,071.52 Typical High $2,238.72 | Facility | None | $100.00 | $1,071.52 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $190.55 | $891.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,412.54 | Facility | None | $512.86 | $1,096.48 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $389.05 | Professional | None (both parts) | $77.62 | $114.82 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $16.60 Median $57.54 Typical High $302.00 | Professional | None (both parts) | $16.60 | $57.54 | $302.00 |
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 $30.90 Median $177.83 Typical High $245.47 | Facility | None | $30.90 | $177.83 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $190.55 Typical High $190.55 | Facility | None | $186.21 | $190.55 | $190.55 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $1,071.52 Typical High $2,238.72 | Facility | None | $616.60 | $1,071.52 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $190.55 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $91.20 | $144.54 | $371.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $141.25 | $190.55 | $309.03 |
16 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 $15.85 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 52 · Reduced service | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $128.82 | $141.25 | $181.97 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $32.36 | $147.91 | $199.53 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $758.58 Typical High $954.99 | Professional | TC · Technical part | $158.49 | $758.58 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $29.51 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $323.59 | Professional | TC · Technical part | $56.23 | $85.11 | $323.59 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $45.71 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $218.78 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $18.20 | $25.70 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $323.59 | Professional | TC · Technical part | $70.79 | $117.49 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $32.36 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $154.88 | $257.04 |
Where Washington sits
The same service costs 4.1 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· 22nd of 51
$166
AK $398UT $97.72
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.