How much rates vary
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $562.34 | $1,202.26 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $75.86 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,148.15 Typical High $1,621.81 | Professional | TC · Technical part | $371.54 | $1,148.15 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $2,511.89 | Facility | None | $100.00 | $239.88 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,511.89 Typical High $8,511.38 | Professional | None (both parts) | $1,380.38 | $2,511.89 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $933.25 Typical High $1,122.02 | Professional | 26 · Professional part | $95.50 | $933.25 | $1,122.02 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $2,290.87 Typical High $7,762.47 | Professional | TC · Technical part | $1,258.93 | $2,290.87 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $3,019.95 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $93.33 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,258.93 Typical High $2,884.03 | Professional | TC · Technical part | $1,148.15 | $1,258.93 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $75.86 Median $169.82 Typical High $2,089.30 | Professional | None (both parts) | $75.86 | $169.82 | $2,089.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $208.93 Typical High $645.65 | Professional | None (both parts) | $54.95 | $208.93 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $21.88 Median $97.72 Typical High $138.04 | Facility | None | $21.88 | $97.72 | $138.04 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,995.26 Typical High $2,818.38 | Professional | None (both parts) | $1,380.38 | $1,995.26 | $2,818.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $138.04 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,862.09 Typical High $2,630.27 | Professional | TC · Technical part | $1,258.93 | $1,862.09 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,122.02 Typical High $2,454.71 | Professional | None (both parts) | $1,023.29 | $1,122.02 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $74.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,023.29 Typical High $2,290.87 | Professional | TC · Technical part | $954.99 | $1,023.29 | $2,290.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $436.52 | $457.09 | $707.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $263.03 | Professional | 26 · Professional part | $169.82 | $177.83 | $263.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $281.84 | $436.52 |
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 $602.56 Median $602.56 Typical High $691.83 | Professional | 52 · Reduced service | $602.56 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | 53 · Discontinued | $245.47 | $245.47 | $275.42 |
Where Washington sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 50th of 51
$316
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.