How much rates vary
Facilitymedian $324 · 10th to 90th $95 to $501Professionalmedian $112 · 10th to 90th $56 to $195
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 $107.15 Median $107.15 Typical High $125.89 | Facility | None | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $97.72 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $26.30 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $81.28 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $309.03 Typical High $630.96 | Facility | None | $64.57 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $234.42 Typical High $758.58 | Professional | None (both parts) | $114.82 | $234.42 | $758.58 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $64.57 Typical High $1,047.13 | Professional | 26 · Professional part | $31.62 | $64.57 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $1,047.13 | Professional | TC · Technical part | $83.18 | $165.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $97.72 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $33.88 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $97.72 | $181.97 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $34.67 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $34.67 | $112.20 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $52.48 | $107.15 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $95.50 Typical High $158.49 | Facility | None | $38.90 | $95.50 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $630.96 | Facility | None | $204.17 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $114.82 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $43.65 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $117.49 | $165.96 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $87.10 | $97.72 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $24.55 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $70.79 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $89.13 | $120.23 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $31.62 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $87.10 | $144.54 |
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 $45.71 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $45.71 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $21.38 | $25.12 |
Where Washington sits
The same service costs 3.8 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· 18th of 51
$112
AK $245UT $64.57
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.