How much rates vary
Facilitymedian $9,333 · 10th to 90th $138 to $14,791Professionalmedian $120 · 10th to 90th $39 to $245
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 $162.18 Median $162.18 Typical High $269.15 | Facility | None | $162.18 | $162.18 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $1,202.26 | Professional | None (both parts) | $162.18 | $162.18 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $8,912.51 Typical High $18,197.01 | Facility | None | $95.50 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $177.83 | $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 $177.83 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $177.83 | $223.87 | $398.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $87.10 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $87.10 | $165.96 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $33.88 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $295.12 | Facility | None | $109.65 | $151.36 | $295.12 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $117.49 | $117.49 | $138.04 |
Premera BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
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 $177.83 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $177.83 | $257.04 | $363.08 |
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 $138.04 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $138.04 | $165.96 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $131.83 | $177.83 | $281.84 |
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 $63.10 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $32.36 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $95.50 | $181.97 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $169.82 Typical High $630.96 | Professional | 26 · Professional part | $81.28 | $169.82 | $630.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $204.17 Typical High $2,884.03 | Professional | TC · Technical part | $97.72 | $204.17 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $125.89 | $223.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
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 $81.28 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $117.49 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $138.04 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $67.61 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $97.72 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $79.43 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $97.72 | $162.18 |
Where Washington sits
The same service costs 5.4 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· 48th of 51
$123
AK $407UT $75.86
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.