How much rates vary
Facilitymedian $8,913 · 10th to 90th $112 to $14,454Professionalmedian $132 · 10th to 90th $43 to $309
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $1,174.90 | Professional | None (both parts) | $165.96 | $165.96 | $1,174.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $8,709.64 Typical High $18,197.01 | Facility | None | $100.00 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $186.21 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $8,912.51 Typical High $11,748.98 | Facility | None | $1,995.26 | $8,912.51 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $177.83 | $234.42 | $416.87 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $81.28 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $81.28 | $186.21 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $162.18 Typical High $275.42 | Facility | None | $77.62 | $162.18 | $275.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $102.33 | $102.33 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Facility | None | $181.97 | $181.97 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,089.30 Median $8,709.64 Typical High $18,197.01 | Facility | None | $2,089.30 | $8,709.64 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $186.21 | $263.03 | $380.19 |
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 $144.54 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $144.54 | $169.82 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $138.04 | $186.21 | $295.12 |
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 $58.88 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $58.88 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $33.11 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $107.15 | $194.98 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $537.03 | Professional | 26 · Professional part | $72.44 | $147.91 | $537.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $2,884.03 | Professional | TC · Technical part | $112.20 | $239.88 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $77.62 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $147.91 | $263.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $102.33 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $162.18 | $234.42 |
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 $89.13 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $112.20 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $69.18 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $117.49 | $194.98 |
Where Washington sits
The same service costs 4.3 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· 47th of 51
$132
AK $407UT $95.50
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.