How much rates vary
Facilitymedian $87 · 10th to 90th $13 to $145Professionalmedian $17 · 10th to 90th $11 to $46
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 $13.49 Median $13.49 Typical High $19.50 | Facility | None | $13.49 | $13.49 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $19.95 | Professional | None (both parts) | $12.02 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $13.18 | Professional | 26 · Professional part | $8.32 | $8.91 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.57 Typical High $6.92 | Professional | TC · Technical part | $4.17 | $4.57 | $6.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $16.22 | $22.39 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.71 Median $81.28 Typical High $169.82 | Facility | None | $8.71 | $81.28 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $37.15 Typical High $1,412.54 | Professional | None (both parts) | $15.85 | $37.15 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $25.12 Typical High $1,288.25 | Professional | 26 · Professional part | $10.72 | $25.12 | $1,288.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $12.02 Typical High $977.24 | Professional | TC · Technical part | $5.13 | $12.02 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $77.62 Typical High $109.65 | Facility | None | $35.48 | $77.62 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.05 Typical High $31.62 | Professional | None (both parts) | $16.60 | $19.05 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $12.59 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $6.76 Typical High $10.47 | Professional | TC · Technical part | $5.62 | $6.76 | $10.47 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $6.61 Median $14.13 Typical High $28.18 | Professional | None (both parts) | $6.61 | $14.13 | $28.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.45 Median $5.01 Typical High $7.76 | Professional | None (both parts) | $2.45 | $5.01 | $7.76 |
Pacific Source Setting Facility Modifier None Typical Low $4.47 Median $13.80 Typical High $23.99 | Facility | None | $4.47 | $13.80 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | TC · Technical part | $5.01 | $5.01 | $5.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $169.82 | Facility | None | $51.29 | $83.18 | $169.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.88 Typical High $31.62 | Professional | None (both parts) | $15.85 | $21.88 | $31.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $14.79 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $7.24 Typical High $10.23 | Professional | TC · Technical part | $5.13 | $7.24 | $10.23 |
United Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $173.78 | Facility | None | $85.11 | $112.20 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.59 Typical High $30.90 | Professional | None (both parts) | $12.30 | $12.59 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $9.12 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $3.98 Typical High $10.23 | Professional | TC · Technical part | $3.80 | $3.98 | $10.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $12.02 Median $16.22 Typical High $25.12 | Professional | None (both parts) | $12.02 | $16.22 | $25.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $7.76 | $10.47 | $16.22 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $5.62 Typical High $9.12 | Professional | TC · Technical part | $4.07 | $5.62 | $9.12 |
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 $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 14th of 51
$17.38
AK $35.48FL $9.12
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.