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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $95.50 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $17.78 | $19.95 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $100.00 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $691.83 Typical High $1,412.54 | Facility | None | $75.86 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $138.04 | $645.65 | $870.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $23.99 | $117.49 | $147.91 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $112.20 | $524.81 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,000.00 | Facility | None | $478.63 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $93.33 | $134.90 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $104.71 | $234.42 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $26.92 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $26.92 | $102.33 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $48.98 | $128.82 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $100.00 Typical High $173.78 | Facility | None | $30.20 | $100.00 | $173.78 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $138.04 | $190.55 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $33.88 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $154.88 | $223.87 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $245.47 | Professional | None (both parts) | $83.18 | $102.33 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $19.50 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $81.28 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $104.71 | $141.25 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $18.20 | $25.12 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $117.49 | $194.98 |
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 $46.77 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $23.99 | $27.54 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 16th of 51
$135
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.