How much rates vary
Facilitymedian $8,913 · 10th to 90th $141 to $14,454Professionalmedian $170 · 10th to 90th $65 to $380
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 $199.53 Median $199.53 Typical High $208.93 | Facility | None | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $177.83 | $199.53 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $8,912.51 Typical High $18,197.01 | Facility | None | $123.03 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $223.87 | $3,235.94 | $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 $229.09 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $229.09 | $275.42 | $501.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $100.00 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $100.00 | $208.93 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $60.26 | $158.49 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $776.25 | Facility | None | $91.20 | $169.82 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $223.87 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $223.87 | $323.59 | $457.09 |
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 $173.78 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $173.78 | $213.80 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $165.96 | $223.87 | $354.81 |
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 $60.26 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $389.05 | Professional | TC · Technical part | $85.11 | $95.50 | $389.05 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $125.89 | $676.08 | $758.58 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $213.80 Typical High $2,884.03 | Professional | TC · Technical part | $100.00 | $213.80 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $93.33 | $120.23 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $134.90 | $251.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $177.83 | $257.04 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $141.25 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $239.88 | Professional | 26 · Professional part | $67.61 | $97.72 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $114.82 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $123.03 | $181.97 |
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 5.1 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· 46th of 51
$170
AK $513UT $100
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.