How much rates vary
Facilitymedian $9,120 · 10th to 90th $186 to $14,791Professionalmedian $170 · 10th to 90th $43 to $324
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $177.83 | $186.21 | $218.78 |
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 $3,162.28 | Professional | None (both parts) | $208.93 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $8,912.51 Typical High $11,748.98 | Facility | None | $1,258.93 | $8,912.51 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $204.17 | $263.03 | $478.63 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $83.18 | $213.80 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $331.13 | Facility | None | $97.72 | $204.17 | $331.13 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $107.15 | $107.15 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $208.93 | Facility | None | $204.17 | $204.17 | $208.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $8,709.64 Typical High $18,197.01 | Facility | None | $5,128.61 | $8,709.64 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $208.93 | $302.00 | $436.52 |
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 $165.96 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $165.96 | $190.55 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $154.88 | $208.93 | $338.84 |
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 $54.95 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $125.89 | $144.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $154.88 Typical High $467.74 | Professional | 26 · Professional part | $74.13 | $154.88 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $288.40 Typical High $2,884.03 | Professional | TC · Technical part | $134.90 | $288.40 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $79.43 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $177.83 | $316.23 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $104.71 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $194.98 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $61.66 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $125.89 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $72.44 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $141.25 | $229.09 |
Where Washington sits
The same service costs 4.4 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· 44th of 51
$170
AK $457UT $105
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.