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 $109.65 Median $109.65 Typical High $181.97 | Facility | None | $109.65 | $109.65 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $95.50 | $109.65 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $295.12 Typical High $630.96 | Facility | None | $42.66 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $123.03 | $602.56 | $776.25 |
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 $112.20 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $112.20 | $123.03 | $229.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $45.71 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $45.71 | $100.00 | $199.53 |
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 $52.48 Median $93.33 Typical High $173.78 | Facility | None | $52.48 | $93.33 | $173.78 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $57.54 | $57.54 | $91.20 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
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 $123.03 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $123.03 | $173.78 | $239.88 |
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 $91.20 Median $97.72 Typical High $223.87 | Professional | None (both parts) | $91.20 | $97.72 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $93.33 | $125.89 | $199.53 |
14 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 $32.36 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $38.02 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $72.44 | $125.89 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $45.71 | $213.80 | $275.42 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $380.19 Typical High $501.19 | Professional | TC · Technical part | $75.86 | $380.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $75.86 | $147.91 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $64.57 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $107.15 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $35.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $61.66 | $141.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $45.71 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $81.28 | $131.83 |
Where Washington sits
The same service costs 3.7 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· 22nd of 51
$112
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.