How much rates vary
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 $275.42 Median $275.42 Typical High $457.09 | Facility | None | $275.42 | $275.42 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $213.80 | $275.42 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $194.98 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $660.69 Typical High $1,412.54 | Facility | None | $147.91 | $660.69 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,380.38 Typical High $1,698.24 | Professional | None (both parts) | $295.12 | $1,380.38 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $707.95 Typical High $1,122.02 | Facility | None | $257.04 | $707.95 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $758.58 | Professional | None (both parts) | $213.80 | $309.03 | $758.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $81.28 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $81.28 | $281.84 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $48.98 | $223.87 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $295.12 Typical High $426.58 | Facility | None | $102.33 | $295.12 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Facility | None | $251.19 | $288.40 | $288.40 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $295.12 | $407.38 | $575.44 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $199.53 | $239.88 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $204.17 | $275.42 | $446.68 |
14 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 $48.98 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $58.88 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $165.96 | $218.78 | $316.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $331.13 Typical High $416.87 | Professional | 26 · Professional part | $70.79 | $331.13 | $416.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,047.13 Typical High $1,288.25 | Professional | TC · Technical part | $223.87 | $1,047.13 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $173.78 | Professional | 26 · Professional part | $51.29 | $72.44 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $234.42 | $575.44 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $102.33 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $309.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $57.54 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $177.83 | $446.68 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $69.18 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $208.93 | $346.74 |
Where Washington sits
The same service costs 5.4 times more in Wyoming 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· 35th of 51
$240
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.