How much rates vary
Facilitymedian $9,120 · 10th to 90th $98 to $14,791Professionalmedian $214 · 10th to 90th $59 to $692
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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $3,548.13 Typical High $3,981.07 | Professional | None (both parts) | $117.49 | $3,548.13 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $95.50 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $3,467.37 Typical High $3,981.07 | Professional | TC · Technical part | $87.10 | $3,467.37 | $3,981.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $8,511.38 Typical High $18,197.01 | Facility | None | $204.17 | $8,511.38 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $2,187.76 Typical High $2,398.83 | Professional | None (both parts) | $181.97 | $2,187.76 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $257.04 Typical High $1,659.59 | Professional | 26 · Professional part | $120.23 | $257.04 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $125.89 Typical High $1,513.56 | Professional | TC · Technical part | $60.26 | $125.89 | $1,513.56 |
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 $138.04 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $138.04 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $125.89 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $67.61 | $128.82 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $60.26 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $60.26 | $154.88 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $194.98 Typical High $489.78 | Professional | None (both parts) | $48.98 | $194.98 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $0.63 Median $79.43 Typical High $173.78 | Facility | None | $0.63 | $79.43 | $173.78 |
Premera BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | None | $177.83 | $177.83 | $181.97 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $8,709.64 Typical High $18,197.01 | Facility | None | $954.99 | $8,709.64 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $181.97 | $263.03 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $257.04 | Professional | 26 · Professional part | $120.23 | $173.78 | $257.04 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $87.10 | $125.89 |
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 $158.49 Median $1,819.70 Typical High $7,079.46 | Professional | None (both parts) | $158.49 | $1,819.70 | $7,079.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $95.50 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $1,778.28 Typical High $6,760.83 | Professional | TC · Technical part | $58.88 | $1,778.28 | $6,760.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $281.84 | $380.19 | $602.56 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $141.25 | $218.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $234.42 | $389.05 |
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 $1,202.26 Median $1,778.28 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,202.26 | $1,778.28 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $707.95 Typical High $812.83 | Professional | 53 · Discontinued | $489.78 | $707.95 | $812.83 |
Where Washington sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 38th of 51
$224
CO $3,467NM $132
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.