How much rates vary
Facilitymedian $62 · 10th to 90th $10 to $513Professionalmedian $513 · 10th to 90th $10 to $1,148
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $416.87 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $41.69 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $537.03 | Professional | TC · Technical part | $380.19 | $467.74 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $309.03 Typical High $371.54 | Facility | None | $30.20 | $309.03 | $371.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,230.27 Typical High $3,630.78 | Professional | None (both parts) | $575.44 | $1,230.27 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $602.56 | Professional | 26 · Professional part | $51.29 | $95.50 | $602.56 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $3,090.30 Typical High $3,311.31 | Professional | TC · Technical part | $512.86 | $3,090.30 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $575.44 Typical High $1,230.27 | Professional | None (both parts) | $524.81 | $575.44 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $51.29 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $524.81 Typical High $1,148.15 | Professional | TC · Technical part | $478.63 | $524.81 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.90 Median $100.00 Typical High $1,000.00 | Professional | None (both parts) | $38.90 | $100.00 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $10.23 | $36.31 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $10.47 Median $54.95 Typical High $77.62 | Facility | None | $10.47 | $54.95 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $812.83 Typical High $1,148.15 | Professional | None (both parts) | $575.44 | $812.83 | $1,148.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $72.44 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $741.31 Typical High $1,047.13 | Professional | TC · Technical part | $512.86 | $741.31 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $512.86 | $549.54 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $40.74 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $501.19 Typical High $1,148.15 | Professional | TC · Technical part | $478.63 | $501.19 | $1,148.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $77.62 | $81.28 | $112.20 |
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 $257.04 Median $257.04 Typical High $288.40 | Professional | 52 · Reduced service | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 53 · Discontinued | $102.33 | $102.33 | $117.49 |
Where Washington sits
The same service costs 16.6 times more in Wisconsin 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· 28th of 51
$513
WI $1,202OR $72.44
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.