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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $263.03 | $263.03 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $208.93 | Facility | None | $147.91 | $177.83 | $208.93 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,348.96 Typical High $1,698.24 | Professional | None (both parts) | $288.40 | $1,348.96 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $676.08 | Facility | None | $331.13 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $208.93 | $309.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $128.82 | $245.47 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $85.11 | $194.98 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $407.38 | Facility | None | $144.54 | $223.87 | $407.38 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $151.36 | $151.36 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $288.40 | $398.11 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $602.56 | Professional | None (both parts) | $199.53 | $234.42 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $204.17 | $275.42 | $436.52 |
14 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 $100.00 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $100.00 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $165.96 | $363.08 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $120.23 | $549.54 | $707.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $794.33 Typical High $977.24 | Professional | TC · Technical part | $169.82 | $794.33 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $87.10 | $120.23 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $446.68 | Professional | TC · Technical part | $123.03 | $190.55 | $446.68 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $169.82 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $169.82 | $229.09 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $245.47 | Professional | 26 · Professional part | $77.62 | $95.50 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $138.04 | $338.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $117.49 | $177.83 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $158.49 | $257.04 |
Where Washington sits
The same service costs 7.6 times more in Wyoming 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· 48th of 51
$204
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.