How much rates vary
Facilitymedian $8,913 · 10th to 90th $126 to $14,454Professionalmedian $182 · 10th to 90th $45 to $389
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $190.55 | $190.55 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $8,709.64 Typical High $18,197.01 | Facility | None | $125.89 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $218.78 | $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 $204.17 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $204.17 | $275.42 | $501.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $85.11 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $85.11 | $218.78 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $42.66 | $165.96 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $186.21 Typical High $316.23 | Facility | None | $77.62 | $186.21 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $223.87 | Facility | None | $213.80 | $213.80 | $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 $2,089.30 Median $8,912.51 Typical High $18,197.01 | Facility | None | $2,089.30 | $8,912.51 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $218.78 | $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 $165.96 Median $194.98 Typical High $489.78 | Professional | None (both parts) | $165.96 | $194.98 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $173.78 | $234.42 | $371.54 |
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 $53.70 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $131.83 | $186.21 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $154.88 Typical High $616.60 | Professional | 26 · Professional part | $74.13 | $154.88 | $616.60 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $309.03 Typical High $2,884.03 | Professional | TC · Technical part | $144.54 | $309.03 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $83.18 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $190.55 | $346.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $104.71 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $218.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $63.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $109.65 | $125.89 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $74.13 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $162.18 | $263.03 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 42nd of 51
$186
AK $479TX $120
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.