How much rates vary
Facilitymedian $16,218 · 10th to 90th $135 to $25,704Professionalmedian $120 · 10th to 90th $39 to $245
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $134.90 | $147.91 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $15,488.17 Typical High $31,622.78 | Facility | None | $91.20 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $165.96 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $15,848.93 Typical High $19,952.62 | Facility | None | $8,709.64 | $15,848.93 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $162.18 | $208.93 | $371.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $77.62 | $158.49 | $309.03 |
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 $95.50 Median $144.54 Typical High $275.42 | Facility | None | $95.50 | $144.54 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $102.33 | $102.33 | $134.90 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,456.54 Median $15,488.17 Typical High $31,622.78 | Facility | None | $6,456.54 | $15,488.17 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $165.96 | $239.88 | $338.84 |
United Setting Facility Modifier None Typical Low $16,218.10 Median $21,877.62 Typical High $33,113.11 | Facility | None | $16,218.10 | $21,877.62 | $33,113.11 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $389.05 | Professional | None (both parts) | $128.82 | $154.88 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $125.89 | $169.82 | $263.03 |
16 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 $53.70 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $29.51 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $91.20 | $162.18 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $151.36 Typical High $630.96 | Professional | 26 · Professional part | $72.44 | $151.36 | $630.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $194.98 Typical High $2,884.03 | Professional | TC · Technical part | $93.33 | $194.98 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $77.62 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $123.03 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $102.33 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $134.90 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $58.88 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $97.72 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $70.79 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $97.72 | $158.49 |
Where Washington sits
The same service costs 4.9 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· 45th of 51
$123
AK $372UT $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.