How much rates vary
Facilitymedian $1,585 · 10th to 90th $49 to $2,512Professionalmedian $71 · 10th to 90th $30 to $155
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 $70.79 Median $1,737.80 Typical High $2,238.72 | Facility | None | $70.79 | $1,737.80 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $56.23 | $70.79 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $1,479.11 Typical High $3,162.28 | Facility | None | $26.30 | $1,479.11 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $83.18 | $389.05 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,548.82 Typical High $2,041.74 | Facility | None | $478.63 | $1,548.82 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $64.57 | $89.13 | $169.82 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $33.11 | $64.57 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $28.84 | $67.61 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $120.23 | Facility | None | $45.71 | $69.18 | $120.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $66.07 | $66.07 | $70.79 |
Premera BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $3,162.28 | Facility | None | $741.31 | $1,548.82 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $83.18 | $117.49 | $169.82 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $60.26 | $64.57 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $60.26 | $81.28 | $128.82 |
17 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 $23.44 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $30.90 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $12.30 | $14.45 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $32.36 | $43.65 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $39.81 | $39.81 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $33.88 | $158.49 | $199.53 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $48.98 | $239.88 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $50.12 | $102.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $47.86 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $69.18 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $27.54 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $89.13 | Professional | TC · Technical part | $33.88 | $38.02 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $32.36 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $48.98 | $81.28 |
Where Washington sits
The same service costs 3.8 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· 28th of 51
$70.79
AK $178TX $46.77
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.