How much rates vary
Facilitymedian $9,120 · 10th to 90th $132 to $14,791Professionalmedian $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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $158.49 | $169.82 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $8,709.64 Typical High $18,197.01 | Facility | None | $102.33 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $190.55 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $8,912.51 Typical High $11,748.98 | Facility | None | $1,995.26 | $8,912.51 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $186.21 | $234.42 | $426.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $95.50 | $173.78 | $346.74 |
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 $87.10 Median $144.54 Typical High $269.15 | Facility | None | $87.10 | $144.54 | $269.15 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,089.30 Median $8,709.64 Typical High $18,197.01 | Facility | None | $2,089.30 | $8,709.64 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $190.55 | $269.15 | $389.05 |
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 $147.91 Median $173.78 Typical High $426.58 | Professional | None (both parts) | $147.91 | $173.78 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $141.25 | $190.55 | $295.12 |
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 $66.07 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $85.11 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $33.88 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $97.72 | $112.20 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $478.63 Typical High $524.81 | Professional | 26 · Professional part | $89.13 | $478.63 | $524.81 |
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 $77.62 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $97.72 | $173.78 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
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 $89.13 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $125.89 | $186.21 |
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 $69.18 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $74.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $100.00 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $87.10 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $102.33 | $165.96 |
Where Washington sits
The same service costs 4.5 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
$135
AK $427UT $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.