How much rates vary
Facilitymedian $9,333 · 10th to 90th $135 to $14,791Professionalmedian $120 · 10th to 90th $39 to $240
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 $147.91 Median $147.91 Typical High $245.47 | Facility | None | $147.91 | $147.91 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $134.90 | $147.91 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $8,912.51 Typical High $18,197.01 | Facility | None | $89.13 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $338.84 Typical High $3,311.31 | Professional | None (both parts) | $165.96 | $338.84 | $3,311.31 |
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 $165.96 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $165.96 | $208.93 | $371.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $77.62 | $158.49 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $33.88 | $109.65 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $288.40 | Facility | None | $93.33 | $144.54 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $8,912.51 Typical High $18,197.01 | Facility | None | $5,248.07 | $8,912.51 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $165.96 | $234.42 | $338.84 |
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 $128.82 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $128.82 | $158.49 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $123.03 | $165.96 | $263.03 |
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 $51.29 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $56.23 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $29.51 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $91.20 | $173.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $144.54 Typical High $575.44 | Professional | 26 · Professional part | $70.79 | $144.54 | $575.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $199.53 Typical High $2,884.03 | Professional | TC · Technical part | $93.33 | $199.53 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $79.43 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $123.03 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $100.00 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $134.90 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $60.26 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $97.72 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $67.61 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $97.72 | $158.49 |
Where Washington sits
The same service costs 4.9 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· 48th of 51
$120
AK $372UT $75.86
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.