How much rates vary
Facilitymedian $324 · 10th to 90th $76 to $525Professionalmedian $81 · 10th to 90th $30 to $229
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 $79.43 Median $79.43 Typical High $114.82 | Facility | None | $79.43 | $79.43 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $74.13 | $79.43 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $309.03 Typical High $630.96 | Facility | None | $52.48 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $91.20 | $501.19 | $588.84 |
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 $89.13 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $89.13 | $97.72 | $190.55 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $38.02 | $77.62 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $75.86 Typical High $213.80 | Professional | None (both parts) | $28.84 | $75.86 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $131.83 | Facility | None | $35.48 | $67.61 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $93.33 | Facility | None | $89.13 | $89.13 | $93.33 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
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 $91.20 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $91.20 | $131.83 | $181.97 |
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 $67.61 Median $74.13 Typical High $177.83 | Professional | None (both parts) | $67.61 | $74.13 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $72.44 | $97.72 | $154.88 |
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 $28.18 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $33.88 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $45.71 | $69.18 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $109.65 Typical High $331.13 | Professional | 26 · Professional part | $40.74 | $109.65 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $331.13 Typical High $346.74 | Professional | TC · Technical part | $51.29 | $331.13 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $56.23 | $109.65 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $57.54 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $74.13 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $31.62 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $97.72 | Professional | TC · Technical part | $36.31 | $43.65 | $97.72 |
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 $41.69 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $56.23 | $91.20 |
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· 32nd of 51
$81.28
AK $204TX $53.70
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.