How much rates vary
Facilitymedian $263 · 10th to 90th $79 to $407Professionalmedian $138 · 10th to 90th $50 to $1,778
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $33.11 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $27.54 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $75.86 | $97.72 | $112.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $524.81 | Facility | None | $154.88 | $263.03 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $1,071.52 Typical High $1,778.28 | Professional | None (both parts) | $87.10 | $1,071.52 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $371.54 Typical High $602.56 | Professional | 26 · Professional part | $30.20 | $371.54 | $602.56 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $602.56 Typical High $776.25 | Professional | TC · Technical part | $56.23 | $602.56 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $363.08 | Facility | None | $125.89 | $269.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $85.11 | $151.36 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $51.29 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $100.00 | $144.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $37.15 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $37.15 | $91.20 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $44.67 | $50.12 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $81.28 Typical High $134.90 | Facility | None | $38.90 | $81.28 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $524.81 | Facility | None | $177.83 | $263.03 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $467.74 | Professional | None (both parts) | $87.10 | $177.83 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $173.78 | Professional | 26 · Professional part | $30.20 | $60.26 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $112.20 Typical High $323.59 | Professional | TC · Technical part | $56.23 | $112.20 | $323.59 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $125.89 | $208.93 |
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 $35.48 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $15.85 | $18.20 |
Where Washington sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 16th of 51
$151
WI $269CT $37.15
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.