How much rates vary
Facilitymedian $1,950 · 10th to 90th $138 to $3,162Professionalmedian $120 · 10th to 90th $37 to $234
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $120.23 | $138.04 | $162.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $1,819.70 Typical High $3,630.78 | Facility | None | $79.43 | $1,819.70 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $309.03 Typical High $1,023.29 | Professional | None (both parts) | $147.91 | $309.03 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $128.82 | $169.82 | $331.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $51.29 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $51.29 | $151.36 | $363.08 |
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 $39.81 Median $134.90 Typical High $234.42 | Facility | None | $39.81 | $134.90 | $234.42 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $147.91 | Professional | None (both parts) | $66.07 | $66.07 | $147.91 |
Premera BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $147.91 | Facility | None | $144.54 | $144.54 | $147.91 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,778.28 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $147.91 | $213.80 | $302.00 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,454.71 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $316.23 | Professional | None (both parts) | $114.82 | $131.83 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $109.65 | $147.91 | $234.42 |
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 $33.88 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $27.54 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $114.82 | Professional | TC · Technical part | $83.18 | $100.00 | $114.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $45.71 | $208.93 | $269.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $213.80 Typical High $870.96 | Professional | TC · Technical part | $102.33 | $213.80 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $50.12 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $120.23 | $229.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $64.57 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $147.91 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $37.15 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $93.33 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $44.67 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $102.33 | $169.82 |
Where Washington sits
The same service costs 4.6 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· 33rd of 51
$120
AK $324TX $70.79
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.