How much rates vary
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,467.37 Typical High $3,630.78 | Professional | None (both parts) | $2,238.72 | $3,467.37 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $43.65 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $3,467.37 Typical High $3,981.07 | Professional | TC · Technical part | $2,238.72 | $3,467.37 | $3,981.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $8,709.64 Typical High $18,197.01 | Facility | None | $190.55 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $724.44 Typical High $5,248.07 | Professional | None (both parts) | $354.81 | $724.44 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $109.65 Typical High $457.09 | Professional | 26 · Professional part | $52.48 | $109.65 | $457.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $616.60 Typical High $5,248.07 | Professional | TC · Technical part | $295.12 | $616.60 | $5,248.07 |
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 $295.12 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $295.12 | $389.05 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $57.54 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $331.13 | $630.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $20.89 Median $87.10 Typical High $446.68 | Professional | None (both parts) | $20.89 | $87.10 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $10.23 | $51.29 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $40.74 Typical High $75.86 | Facility | None | $5.75 | $40.74 | $75.86 |
Premera BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $8,709.64 Typical High $18,197.01 | Facility | None | $933.25 | $8,709.64 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $354.81 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $74.13 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $295.12 | $426.58 | $616.60 |
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 $363.08 Median $1,819.70 Typical High $6,918.31 | Professional | None (both parts) | $363.08 | $1,819.70 | $6,918.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $42.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,778.28 Typical High $6,760.83 | Professional | TC · Technical part | $316.23 | $1,778.28 | $6,760.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $48.98 | $66.07 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $51.29 | $77.62 |
2 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 52 · Reduced service Typical Low $1,202.26 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,202.26 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $691.83 Typical High $794.33 | Professional | 53 · Discontinued | $478.63 | $691.83 | $794.33 |
Where Washington sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 45th of 51
$331
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.