How much rates vary
Facilitymedian $309 · 10th to 90th $62 to $537Professionalmedian $74 · 10th to 90th $30 to $158
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 $131.83 Typical High $549.54 | Facility | None | $79.43 | $131.83 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $165.96 | Professional | None (both parts) | $79.43 | $79.43 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $134.90 | Professional | None (both parts) | $30.20 | $30.20 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $309.03 Typical High $630.96 | Facility | None | $45.71 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $81.28 | $467.74 | $524.81 |
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 $107.15 Typical High $194.98 | Professional | None (both parts) | $89.13 | $107.15 | $194.98 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $35.48 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $35.48 | $79.43 | $158.49 |
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 $47.86 Median $83.18 Typical High $147.91 | Facility | None | $47.86 | $83.18 | $147.91 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | None (both parts) | $51.29 | $51.29 | $114.82 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $79.43 | Facility | None | $77.62 | $79.43 | $79.43 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
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 $81.28 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $81.28 | $112.20 | $162.18 |
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 $63.10 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $63.10 | $85.11 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $63.10 | $85.11 | $134.90 |
17 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 $25.12 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $47.86 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $41.69 | $46.77 | $50.12 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $102.33 Typical High $275.42 | Professional | 26 · Professional part | $38.02 | $102.33 | $275.42 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $134.90 Typical High $416.87 | Professional | TC · Technical part | $42.66 | $134.90 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $35.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $74.13 | $123.03 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $58.88 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $29.51 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $33.11 | $56.23 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $38.02 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $47.86 | $77.62 |
Where Washington sits
The same service costs 4.1 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· 38th of 51
$74.13
AK $195TX $47.86
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.