How much rates vary
Facilitymedian $16,596 · 10th to 90th $174 to $27,542Professionalmedian $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 $173.78 Median $173.78 Typical High $288.40 | Facility | None | $173.78 | $173.78 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $162.18 | $173.78 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $15,488.17 Typical High $31,622.78 | Facility | None | $107.15 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $194.98 | $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 $190.55 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $190.55 | $245.47 | $446.68 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $79.43 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $79.43 | $199.53 | $363.08 |
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 $61.66 Median $169.82 Typical High $302.00 | Facility | None | $61.66 | $169.82 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Facility | None | $190.55 | $190.55 | $194.98 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
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 $194.98 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $194.98 | $281.84 | $407.38 |
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 $154.88 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $154.88 | $177.83 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $147.91 | $199.53 | $316.23 |
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 $48.98 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $57.54 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $34.67 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $346.74 | Professional | TC · Technical part | $109.65 | $114.82 | $346.74 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $144.54 Typical High $645.65 | Professional | 26 · Professional part | $70.79 | $144.54 | $645.65 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $269.15 Typical High $2,884.03 | Professional | TC · Technical part | $123.03 | $269.15 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $75.86 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $165.96 | $288.40 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $100.00 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $181.97 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $58.88 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $117.49 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $67.61 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $131.83 | $218.78 |
Where Washington sits
The same service costs 4.2 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· 40th of 51
$170
AK $437UT $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.