How much rates vary
Facilitymedian $316 · 10th to 90th $48 to $501Professionalmedian $58 · 10th to 90th $28 to $105
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $54.95 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $25.12 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $30.20 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $35.48 Median $302.00 Typical High $630.96 | Facility | None | $35.48 | $302.00 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $169.82 Typical High $501.19 | Professional | None (both parts) | $63.10 | $169.82 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $81.28 Typical High $331.13 | Professional | 26 · Professional part | $30.20 | $81.28 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $91.20 Typical High $331.13 | Professional | TC · Technical part | $33.11 | $91.20 | $331.13 |
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 $72.44 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $72.44 | $81.28 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $38.90 | $45.71 | $83.18 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $120.23 | Professional | None (both parts) | $33.88 | $58.88 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $26.30 | $51.29 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $57.54 Typical High $144.54 | Facility | None | $39.81 | $57.54 | $144.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None (both parts) | $44.67 | $44.67 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $64.57 | Facility | None | $61.66 | $61.66 | $64.57 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
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 $63.10 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $63.10 | $91.20 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $42.66 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $47.86 | $67.61 |
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 $48.98 Median $56.23 Typical High $128.82 | Professional | None (both parts) | $48.98 | $56.23 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $26.30 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $29.51 | $69.18 |
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 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $30.90 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $36.31 | $58.88 |
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 $27.54 Median $27.54 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | 53 · Discontinued | $10.96 | $10.96 | $12.88 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 41st of 51
$57.54
AK $141UT $31.62
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.