How much rates vary
Facilitymedian $9,550 · 10th to 90th $182 to $15,849Professionalmedian $158 · 10th to 90th $60 to $389
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 $181.97 Median $181.97 Typical High $15,848.93 | Facility | None | $181.97 | $181.97 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $165.96 | $181.97 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $8,709.64 Typical High $18,197.01 | Facility | None | $112.20 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $3,162.28 Typical High $3,235.94 | Professional | None (both parts) | $208.93 | $3,162.28 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $9,120.11 Typical High $11,748.98 | Facility | None | $5,128.61 | $9,120.11 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $204.17 | $251.19 | $457.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $87.10 | $186.21 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $144.54 Typical High $354.81 | Professional | None (both parts) | $57.54 | $144.54 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $165.96 Typical High $331.13 | Facility | None | $87.10 | $165.96 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $8,912.51 Typical High $18,197.01 | Facility | None | $5,248.07 | $8,912.51 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $208.93 | $295.12 | $416.87 |
United Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $19,054.61 | Facility | None | $9,332.54 | $12,302.69 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $158.49 | $186.21 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $151.36 | $204.17 | $323.59 |
17 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 $51.29 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $37.15 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $93.33 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | 26 · Professional part | $138.04 | $151.36 | $162.18 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $549.54 Typical High $691.83 | Professional | 26 · Professional part | $112.20 | $549.54 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $2,884.03 | Professional | TC · Technical part | $95.50 | $199.53 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $109.65 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $125.89 | $229.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $158.49 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $134.90 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $213.80 | Professional | 26 · Professional part | $58.88 | $89.13 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $107.15 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $107.15 | $162.18 |
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 4.1 times more in Alaska 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
$158
AK $468TX $115
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.