How much rates vary
Facilitymedian $741 · 10th to 90th $110 to $1,230Professionalmedian $117 · 10th to 90th $56 to $204
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 $1,096.48 Typical High $1,445.44 | Facility | None | $120.23 | $1,096.48 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $79.43 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $20.42 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $97.72 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $25.12 | $31.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $67.61 Median $707.95 Typical High $1,412.54 | Facility | None | $67.61 | $707.95 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $630.96 Typical High $776.25 | Professional | None (both parts) | $134.90 | $630.96 | $776.25 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $25.12 | $131.83 | $147.91 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $524.81 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $977.24 | Facility | None | $478.63 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $89.13 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $26.30 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $218.78 | Professional | TC · Technical part | $66.07 | $95.50 | $218.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $27.54 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $27.54 | $93.33 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $52.48 | $107.15 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $102.33 Typical High $177.83 | Facility | None | $35.48 | $102.33 | $177.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $81.28 | Professional | None (both parts) | $21.88 | $21.88 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $131.83 | Facility | None | $128.82 | $131.83 | $131.83 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $134.90 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $134.90 | $181.97 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $35.48 | $51.29 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $147.91 | $208.93 |
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 $79.43 Median $95.50 Typical High $239.88 | Professional | None (both parts) | $79.43 | $95.50 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $48.98 | Professional | 26 · Professional part | $18.62 | $19.95 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $77.62 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $93.33 | $125.89 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $23.99 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $102.33 | $169.82 |
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 $45.71 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $45.71 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $18.20 | $23.99 | $27.54 |
Where Washington sits
The same service costs 4.0 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· 18th of 51
$117
AK $263UT $66.07
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.