How much rates vary
Facilitymedian $575 · 10th to 90th $229 to $891Professionalmedian $269 · 10th to 90th $98 to $631
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 $346.74 Median $724.44 Typical High $891.25 | Facility | None | $346.74 | $724.44 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $371.54 | $1,000.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $218.78 Median $501.19 Typical High $1,047.13 | Facility | None | $218.78 | $501.19 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,202.26 Typical High $4,786.30 | Professional | None (both parts) | $588.84 | $1,202.26 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $1,071.52 | Facility | None | $524.81 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $575.44 Typical High $1,479.11 | Professional | None (both parts) | $436.52 | $575.44 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $173.78 Median $562.34 Typical High $977.24 | Professional | None (both parts) | $173.78 | $562.34 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $89.13 | $251.19 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $562.34 Typical High $891.25 | Facility | None | $204.17 | $562.34 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $1,047.13 | Facility | None | $416.87 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $831.76 Typical High $1,174.90 | Professional | None (both parts) | $588.84 | $831.76 | $1,174.90 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Facility | None | $512.86 | $676.08 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $1,174.90 | Professional | None (both parts) | $380.19 | $467.74 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $302.00 | $407.38 | $645.65 |
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 $104.71 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 53 · Discontinued | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $281.84 | $660.69 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $316.23 Typical High $1,698.24 | Professional | 26 · Professional part | $154.88 | $316.23 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $870.96 Typical High $3,630.78 | Professional | TC · Technical part | $436.52 | $870.96 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $109.65 | $154.88 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $1,096.48 | Professional | TC · Technical part | $323.59 | $446.68 | $1,096.48 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $218.78 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $218.78 | $316.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $616.60 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $616.60 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $120.23 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $851.14 | Professional | TC · Technical part | $281.84 | $346.74 | $851.14 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $147.91 | $223.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $257.04 | $416.87 |
Where Washington sits
The same service costs 6.8 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· 49th of 51
$269
AK $1,148UT $170
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.