How much rates vary
Facilitymedian $1,585 · 10th to 90th $331 to $2,512Professionalmedian $263 · 10th to 90th $98 to $603
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $218.78 | $331.13 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $436.52 | $446.68 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $1,513.56 Typical High $3,162.28 | Facility | None | $194.98 | $1,513.56 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,698.24 Typical High $2,238.72 | Professional | None (both parts) | $363.08 | $1,698.24 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,000.00 | $1,584.89 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $331.13 | $354.81 | $676.08 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $104.71 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $104.71 | $251.19 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $93.33 | $251.19 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $549.54 | Facility | None | $144.54 | $354.81 | $549.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $151.36 | $151.36 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $3,162.28 | Facility | None | $616.60 | $1,548.82 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $363.08 | $501.19 | $707.95 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $223.87 | $275.42 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $275.42 | $371.54 | $588.84 |
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 $75.86 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $245.47 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 26 · Professional part | $128.82 | $128.82 | $151.36 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $501.19 Typical High $660.69 | Professional | 26 · Professional part | $107.15 | $501.19 | $660.69 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $257.04 | $1,202.26 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $109.65 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $251.19 | $478.63 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $151.36 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $489.78 | Professional | TC · Technical part | $257.04 | $354.81 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $83.18 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $194.98 | $478.63 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $107.15 | $162.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $257.04 | $426.58 |
Where Washington sits
The same service costs 5.0 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· 33rd of 51
$269
AK $794UT $158
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.