How much rates vary
Facilitymedian $302 · 10th to 90th $43 to $501Professionalmedian $71 · 10th to 90th $30 to $158
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $67.61 | $67.61 | $107.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $295.12 Typical High $630.96 | Facility | None | $26.30 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $77.62 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $457.09 | Facility | None | $234.42 | $346.74 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $93.33 | $100.00 | $177.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $42.66 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $42.66 | $79.43 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $28.84 | $66.07 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $74.13 Typical High $141.25 | Facility | None | $37.15 | $74.13 | $141.25 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $35.48 | $35.48 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $630.96 | Facility | None | $218.78 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $77.62 | $112.20 | $158.49 |
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 $63.10 Median $72.44 Typical High $165.96 | Professional | None (both parts) | $63.10 | $72.44 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $58.88 | $79.43 | $125.89 |
16 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 $39.81 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $27.54 | $50.12 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $128.82 Typical High $316.23 | Professional | 26 · Professional part | $47.86 | $128.82 | $316.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $89.13 Typical High $457.09 | Professional | TC · Technical part | $29.51 | $89.13 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $54.95 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $38.90 | $46.77 | $85.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $30.20 | $30.20 | $30.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $67.61 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $42.66 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $41.69 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $72.44 | Professional | TC · Technical part | $23.99 | $29.51 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $31.62 | $52.48 |
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· 42nd 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.