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 $2,137.96 Median $3,467.37 Typical High $3,981.07 | Professional | None (both parts) | $2,137.96 | $3,467.37 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $58.88 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $3,467.37 Typical High $3,981.07 | Professional | TC · Technical part | $2,398.83 | $3,467.37 | $3,981.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $8,912.51 Typical High $18,197.01 | Facility | None | $190.55 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $5,370.32 | Professional | None (both parts) | $363.08 | $724.44 | $5,370.32 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $524.81 | Professional | 26 · Professional part | $72.44 | $147.91 | $524.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $588.84 Typical High $5,248.07 | Professional | TC · Technical part | $288.40 | $588.84 | $5,248.07 |
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 $316.23 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $316.23 | $398.11 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $323.59 | $602.56 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $83.18 | $346.74 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $10.23 | $50.12 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $398.11 Typical High $501.19 | Facility | None | $63.10 | $398.11 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $8,912.51 Typical High $18,197.01 | Facility | None | $933.25 | $8,912.51 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $363.08 | $524.81 | $724.44 |
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 $288.40 Median $407.38 Typical High $588.84 | Professional | TC · Technical part | $288.40 | $407.38 | $588.84 |
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 $389.05 Median $3,019.95 Typical High $7,762.47 | Professional | None (both parts) | $389.05 | $3,019.95 | $7,762.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $60.26 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $3,019.95 Typical High $7,585.78 | Professional | TC · Technical part | $323.59 | $3,019.95 | $7,585.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
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 |
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 $1,318.26 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,318.26 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $707.95 Typical High $794.33 | Professional | 53 · Discontinued | $524.81 | $707.95 | $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
$355
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.