How much rates vary
Facilitymedian $302 · 10th to 90th $91 to $501Professionalmedian $129 · 10th to 90th $43 to $309
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 $204.17 | Facility | None | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $97.72 | $141.25 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $309.03 Typical High $630.96 | Facility | None | $81.28 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $158.49 | $741.31 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $141.25 | $154.88 | $302.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $41.69 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $41.69 | $125.89 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $208.93 | Facility | None | $52.48 | $120.23 | $208.93 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $134.90 | Professional | None (both parts) | $45.71 | $52.48 | $134.90 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $158.49 | Facility | None | $154.88 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $630.96 | Facility | None | $186.21 | $309.03 | $630.96 |
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 Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $117.49 | $120.23 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $112.20 | $151.36 | $245.47 |
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 $28.84 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $34.67 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $107.15 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $48.98 | $48.98 | $51.29 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $112.20 Typical High $1,548.82 | Professional | 26 · Professional part | $41.69 | $112.20 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $117.49 | $549.54 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $112.20 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $58.88 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $158.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $33.11 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $208.93 | Professional | TC · Technical part | $85.11 | $87.10 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $112.20 | $186.21 |
Where Washington sits
The same service costs 3.9 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· 29th of 51
$129
AK $339TX $87.10
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.