How much rates vary
Facilitymedian $302 · 10th to 90th $54 to $501Professionalmedian $72 · 10th to 90th $30 to $158
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $66.07 | $87.10 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $114.82 | $120.23 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $31.62 Median $295.12 Typical High $630.96 | Facility | None | $31.62 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $97.72 | $562.34 | $602.56 |
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 $89.13 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $89.13 | $100.00 | $181.97 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $35.48 Median $69.18 Typical High $154.88 | Professional | None (both parts) | $35.48 | $69.18 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $28.84 | $66.07 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $134.90 | Facility | None | $53.70 | $81.28 | $134.90 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $47.86 | $47.86 | $69.18 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $97.72 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $97.72 | $134.90 | $190.55 |
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 $72.44 Median $74.13 Typical High $181.97 | Professional | None (both parts) | $72.44 | $74.13 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $72.44 | $97.72 | $154.88 |
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 $26.30 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $56.23 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $44.67 | $52.48 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $229.09 Typical High $239.88 | Professional | 26 · Professional part | $37.15 | $229.09 | $239.88 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $60.26 | $398.11 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $37.15 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $61.66 | $112.20 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $53.70 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $83.18 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $29.51 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $45.71 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $38.02 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $60.26 | $97.72 |
Where Washington sits
The same service costs 4.4 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· 41st of 51
$74.13
AK $214UT $48.98
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.