How much rates vary
Facilitymedian $302 · 10th to 90th $36 to $501Professionalmedian $69 · 10th to 90th $30 to $155
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 $57.54 Median $57.54 Typical High $95.50 | Facility | None | $57.54 | $57.54 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $57.54 | $57.54 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.91 Median $295.12 Typical High $630.96 | Facility | None | $22.91 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $64.57 | $676.08 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $446.68 | Facility | None | $234.42 | $346.74 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $81.28 | $89.13 | $162.18 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.90 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $38.90 | $69.18 | $134.90 |
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 $34.67 Median $60.26 Typical High $95.50 | Facility | None | $34.67 | $60.26 | $95.50 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $28.84 | $28.84 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Facility | None | $64.57 | $64.57 | $66.07 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
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 $64.57 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $64.57 | $93.33 | $131.83 |
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 $53.70 Median $61.66 Typical High $141.25 | Professional | None (both parts) | $53.70 | $61.66 | $141.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $50.12 | $67.61 | $107.15 |
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 $34.67 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $34.67 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 52 · Reduced service | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $22.91 | $45.71 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $112.20 Typical High $346.74 | Professional | 26 · Professional part | $40.74 | $112.20 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $72.44 Typical High $416.87 | Professional | TC · Technical part | $23.99 | $72.44 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $38.02 | $69.18 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $24.55 | $24.55 | $24.55 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $58.88 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $23.99 | $35.48 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $36.31 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $58.88 | Professional | TC · Technical part | $19.95 | $23.99 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $41.69 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $25.70 | $42.66 |
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· 36th of 51
$69.18
AK $151TX $39.81
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.