How much rates vary
Facilitymedian $1,660 · 10th to 90th $62 to $2,754Professionalmedian $87 · 10th to 90th $28 to $631
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $28.18 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $588.84 Typical High $676.08 | Professional | TC · Technical part | $524.81 | $588.84 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $1,548.82 Typical High $3,162.28 | Facility | None | $51.29 | $1,548.82 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $194.98 Typical High $954.99 | Professional | None (both parts) | $95.50 | $194.98 | $954.99 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $33.88 | $158.49 | $204.17 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $912.01 | Professional | TC · Technical part | $61.66 | $125.89 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,548.82 Typical High $2,041.74 | Facility | None | $478.63 | $1,548.82 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $81.28 | $104.71 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $37.15 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $67.61 | $125.89 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $4.68 Median $50.12 Typical High $104.71 | Professional | None (both parts) | $4.68 | $50.12 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $10.23 | $50.12 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $0.74 Median $23.99 Typical High $53.70 | Facility | None | $0.74 | $23.99 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $3,162.28 | Facility | None | $741.31 | $1,548.82 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $95.50 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $47.86 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $87.10 | $125.89 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $97.72 | $562.34 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $28.18 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $537.03 Typical High $1,288.25 | Professional | TC · Technical part | $64.57 | $537.03 | $1,288.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $27.54 | $37.15 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $33.88 | $51.29 |
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 $269.15 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $120.23 | $134.90 |
Where Washington sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 47th of 51
$93.33
CO $661MI $75.86
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.