How much rates vary
Facilitymedian $112 · 10th to 90th $85 to $229Professionalmedian $123 · 10th to 90th $27 to $251
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $125.89 | $141.25 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $588.84 | Facility | None | $85.11 | $100.00 | $588.84 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $1,548.82 | Professional | None (both parts) | $158.49 | $288.40 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $144.54 | $186.21 | $323.59 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $89.13 | $138.04 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $25.70 | $114.82 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $229.09 | Facility | None | $85.11 | $112.20 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $154.88 | Facility | None | $151.36 | $154.88 | $154.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $158.49 | $218.78 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $117.49 | $123.03 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $158.49 | $162.18 | $245.47 |
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 $53.70 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 52 · Reduced service | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $28.18 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $77.62 | $128.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $562.34 Typical High $691.83 | Professional | 26 · Professional part | $75.86 | $562.34 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $1,230.27 | Professional | TC · Technical part | $83.18 | $147.91 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $79.43 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $95.50 | $177.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $107.15 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $83.18 | $112.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $60.26 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $64.57 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $77.62 | $112.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $87.10 | $134.90 |
Where Washington sits
The same service costs 5.6 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· 41st of 51
$123
AK $447TX $79.43
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.