How much rates vary
Facilitymedian $309 · 10th to 90th $100 to $525Professionalmedian $112 · 10th to 90th $39 to $234
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 $100.00 Median $102.33 Typical High $489.78 | Facility | None | $100.00 | $102.33 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $91.20 | $100.00 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $53.70 | $114.82 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $309.03 Typical High $630.96 | Facility | None | $61.66 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $112.20 | $524.81 | $707.95 |
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 $100.00 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $100.00 | $112.20 | $218.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $41.69 | $89.13 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $33.88 | $104.71 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $95.50 Typical High $165.96 | Facility | None | $37.15 | $95.50 | $165.96 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $46.77 | $70.79 | $117.49 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $112.20 | Facility | None | $109.65 | $109.65 | $112.20 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
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 $112.20 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $112.20 | $154.88 | $218.78 |
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 $85.11 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $85.11 | $91.20 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $85.11 | $114.82 | $181.97 |
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 $35.48 Median $35.48 Typical High $45.71 | Facility | 26 · Professional part | $35.48 | $35.48 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $75.86 | Facility | TC · Technical part | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $35.48 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $64.57 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $30.90 | $54.95 | $109.65 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $42.66 | $199.53 | $257.04 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $331.13 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $42.66 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $69.18 | $138.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $58.88 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $97.72 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $33.11 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $56.23 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $41.69 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $72.44 | $117.49 |
Where Washington sits
The same service costs 3.6 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· 18th of 51
$112
AK $245TX $67.61
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.