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 $95.50 Median $125.89 Typical High $229.09 | Facility | None | $95.50 | $125.89 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $77.62 | $125.89 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $97.72 | $169.82 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $524.81 | Facility | None | $74.13 | $245.47 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $141.25 | $660.69 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $316.23 | Facility | None | $138.04 | $138.04 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $346.74 | Professional | None (both parts) | $102.33 | $134.90 | $346.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $40.74 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $40.74 | $123.03 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $33.88 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $141.25 Typical High $199.53 | Facility | None | $50.12 | $141.25 | $199.53 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $123.03 | Professional | None (both parts) | $46.77 | $46.77 | $123.03 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $524.81 | Facility | None | $125.89 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $141.25 | $199.53 | $288.40 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $269.15 | Professional | None (both parts) | $89.13 | $107.15 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $104.71 | $141.25 | $223.87 |
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 $26.92 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $31.62 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $95.50 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $47.86 | $53.70 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $38.02 | $173.78 | $223.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $489.78 Typical High $630.96 | Professional | TC · Technical part | $102.33 | $489.78 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $26.92 | $37.15 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $97.72 | $251.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $53.70 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $147.91 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $75.86 | Professional | 26 · Professional part | $24.55 | $29.51 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $77.62 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $36.31 | $54.95 |
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 |
Where Washington sits
The same service costs 4.2 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· 28th of 51
$117
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.