How much rates vary
Facilitymedian $316 · 10th to 90th $63 to $525Professionalmedian $71 · 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 $69.18 Median $114.82 Typical High $549.54 | Facility | None | $69.18 | $114.82 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $177.83 | Professional | None (both parts) | $69.18 | $69.18 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $63.10 | $104.71 | $125.89 |
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 $79.43 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $79.43 | $524.81 | $602.56 |
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 $69.18 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $69.18 | $81.28 | $173.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $32.36 Median $72.44 Typical High $151.36 | Professional | None (both parts) | $32.36 | $72.44 | $151.36 |
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 $33.11 Median $63.10 Typical High $120.23 | Facility | None | $33.11 | $63.10 | $120.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $33.11 | $46.77 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Facility | None | $77.62 | $77.62 | $81.28 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
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 $79.43 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $79.43 | $114.82 | $158.49 |
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 $60.26 Median $66.07 Typical High $158.49 | Professional | None (both parts) | $60.26 | $66.07 | $158.49 |
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 $26.92 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $31.62 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $114.82 | Professional | TC · Technical part | $38.02 | $38.02 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $45.71 | $51.29 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $194.98 Typical High $223.87 | Professional | 26 · Professional part | $38.02 | $194.98 | $223.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $41.69 | $363.08 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $37.15 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $42.66 | $102.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
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 $41.69 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $61.66 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $29.51 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $35.48 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $37.15 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $47.86 | $77.62 |
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· 39th of 51
$70.79
AK $182TX $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.