How much rates vary
Facilitymedian $309 · 10th to 90th $129 to $501Professionalmedian $166 · 10th to 90th $65 to $380
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 $169.82 Median $169.82 Typical High $245.47 | Facility | None | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $138.04 | $169.82 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $295.12 Typical High $630.96 | Facility | None | $79.43 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $933.25 Typical High $1,479.11 | Professional | None (both parts) | $204.17 | $933.25 | $1,479.11 |
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 $173.78 Median $190.55 Typical High $398.11 | Professional | None (both parts) | $173.78 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $69.18 | $144.54 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $63.10 | $158.49 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $346.74 | Facility | None | $91.20 | $177.83 | $346.74 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $66.07 | $66.07 | $95.50 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $204.17 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $204.17 | $323.59 | $436.52 |
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 $134.90 Median $144.54 Typical High $389.05 | Professional | None (both parts) | $134.90 | $144.54 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $177.83 | $239.88 | $380.19 |
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 $53.70 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $63.10 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $107.15 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $81.28 | $371.54 | $562.34 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $575.44 Typical High $933.25 | Professional | TC · Technical part | $120.23 | $575.44 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $77.62 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $114.82 | $269.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $117.49 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $208.93 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $154.88 | Professional | 26 · Professional part | $56.23 | $61.66 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $87.10 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $87.10 | $131.83 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $151.36 | $251.19 |
Where Washington sits
The same service costs 4.9 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· 29th of 51
$166
AK $468UT $95.50
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.