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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $831.76 | Professional | None (both parts) | $478.63 | $588.84 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $2,137.96 Typical High $4,570.88 | Facility | None | $323.59 | $2,137.96 | $4,570.88 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,230.27 Typical High $5,011.87 | Professional | None (both parts) | $630.96 | $1,230.27 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,513.56 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $676.08 Typical High $1,698.24 | Professional | None (both parts) | $457.09 | $676.08 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $213.80 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $213.80 | $660.69 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $407.38 Typical High $912.01 | Professional | None (both parts) | $125.89 | $407.38 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $602.56 Typical High $1,122.02 | Facility | None | $257.04 | $602.56 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $616.60 | Facility | None | $537.03 | $616.60 | $616.60 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $4,570.88 | Facility | None | $1,380.38 | $2,238.72 | $4,570.88 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $630.96 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,290.87 | $3,019.95 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $426.58 | $537.03 | $1,288.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $446.68 | $602.56 | $954.99 |
15 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 $141.25 Median $158.49 Typical High $309.03 | Professional | 26 · Professional part | $141.25 | $158.49 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $338.84 | $426.58 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $933.25 Typical High $1,148.15 | Professional | 26 · Professional part | $190.55 | $933.25 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $812.83 Typical High $4,265.80 | Professional | TC · Technical part | $436.52 | $812.83 | $4,265.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $457.09 | Professional | 26 · Professional part | $138.04 | $190.55 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $1,230.27 | Professional | TC · Technical part | $331.13 | $501.19 | $1,230.27 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $269.15 | $389.05 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $588.84 Typical High $812.83 | Professional | TC · Technical part | $436.52 | $588.84 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $389.05 | Professional | 26 · Professional part | $128.82 | $151.36 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $933.25 | Professional | TC · Technical part | $302.00 | $371.54 | $933.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $190.55 | $288.40 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $416.87 | $676.08 |
Where Washington sits
The same service costs 5.8 times more in Wyoming than in Texas. 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
$447
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.