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 $190.55 Median $190.55 Typical High $269.15 | Facility | None | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $154.88 | $190.55 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $309.03 Typical High $630.96 | Facility | None | $107.15 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $977.24 Typical High $1,230.27 | Professional | None (both parts) | $208.93 | $977.24 | $1,230.27 |
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 $186.21 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $186.21 | $208.93 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $48.98 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $48.98 | $169.82 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $38.90 | $151.36 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $218.78 Typical High $309.03 | Facility | None | $66.07 | $218.78 | $309.03 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $218.78 | Professional | None (both parts) | $70.79 | $70.79 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $208.93 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $208.93 | $281.84 | $398.11 |
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 $151.36 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $151.36 | $158.49 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $147.91 | $199.53 | $323.59 |
15 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 $34.67 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $40.74 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $147.91 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $229.09 | $288.40 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $741.31 Typical High $954.99 | Professional | TC · Technical part | $158.49 | $741.31 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $48.98 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $158.49 | $302.00 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $69.18 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $213.80 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $38.90 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $120.23 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $154.88 | $251.19 |
Where Washington sits
The same service costs 4.3 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· 27th of 51
$166
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.