How much rates vary
Facilitymedian $251 · 10th to 90th $100 to $380Professionalmedian $166 · 10th to 90th $43 to $316
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 $147.91 Median $147.91 Typical High $245.47 | Facility | None | $147.91 | $147.91 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $147.91 | $147.91 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $245.47 Typical High $524.81 | Facility | None | $100.00 | $245.47 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $190.55 | $1,096.48 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $316.23 | Facility | None | $138.04 | $218.78 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $138.04 | $199.53 | $478.63 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $69.18 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $69.18 | $186.21 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $173.78 Typical High $275.42 | Facility | None | $77.62 | $173.78 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $186.21 | Facility | None | $181.97 | $186.21 | $186.21 |
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 |
Regence BlueShield Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $524.81 | Facility | None | $177.83 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $190.55 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $380.19 | Professional | None (both parts) | $125.89 | $154.88 | $380.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $138.04 | $186.21 | $295.12 |
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 $44.67 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $51.29 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $134.90 | Professional | 52 · Reduced service | $74.13 | $74.13 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $30.20 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $97.72 | $281.84 |
Ambetter 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 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $61.66 | $288.40 | $371.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $794.33 Typical High $812.83 | Professional | TC · Technical part | $125.89 | $794.33 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $147.91 | Professional | 26 · Professional part | $44.67 | $63.10 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $131.83 | $323.59 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $87.10 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $177.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $48.98 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $104.71 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $61.66 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $123.03 | $204.17 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 33rd of 51
$170
AK $447UT $105
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.