How much rates vary
Facilitymedian $8,913 · 10th to 90th $112 to $14,454Professionalmedian $132 · 10th to 90th $43 to $309
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 $158.49 Median $158.49 Typical High $263.03 | Facility | None | $158.49 | $158.49 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $144.54 | $158.49 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $8,912.51 Typical High $18,197.01 | Facility | None | $97.72 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $173.78 | $3,162.28 | $3,162.28 |
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 $169.82 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $169.82 | $218.78 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $79.43 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $79.43 | $165.96 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $309.03 | Facility | None | $97.72 | $154.88 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $173.78 | Facility | None | $169.82 | $169.82 | $173.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
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 $173.78 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $173.78 | $245.47 | $354.81 |
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 $134.90 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $134.90 | $158.49 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $134.90 | $181.97 | $288.40 |
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 $60.26 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $60.26 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $31.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $97.72 | $177.83 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $151.36 Typical High $537.03 | Professional | 26 · Professional part | $72.44 | $151.36 | $537.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $208.93 Typical High $2,884.03 | Professional | TC · Technical part | $100.00 | $208.93 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $79.43 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $131.83 | $234.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $102.33 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $144.54 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $58.88 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $97.72 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $72.44 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $107.15 | $177.83 |
Where Washington sits
The same service costs 4.1 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· 45th of 51
$132
AK $389TX $95.50
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.