How much rates vary
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 $141.25 Median $199.53 Typical High $549.54 | Facility | None | $141.25 | $199.53 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $120.23 | $141.25 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $104.71 | $169.82 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $309.03 Typical High $630.96 | Facility | None | $81.28 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $154.88 | $724.44 | $933.25 |
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 $138.04 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $138.04 | $154.88 | $295.12 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $36.31 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $36.31 | $128.82 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $141.25 Typical High $218.78 | Facility | None | $47.86 | $141.25 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $154.88 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $154.88 | $213.80 | $295.12 |
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 $112.20 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $112.20 | $117.49 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $112.20 | $151.36 | $245.47 |
19 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 Facility Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Facility | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | TC · Technical part | $109.65 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $30.90 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $109.65 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $43.65 | $53.70 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $95.50 Typical High $269.15 | Professional | 26 · Professional part | $37.15 | $95.50 | $269.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $117.49 | $549.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $117.49 | $229.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $51.29 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $162.18 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $28.84 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $89.13 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $36.31 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $117.49 | $190.55 |
Where Washington sits
The same service costs 4.1 times more in Minnesota 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· 22nd of 51
$129
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.