How much rates vary
Facilitymedian $692 · 10th to 90th $87 to $1,096Professionalmedian $129 · 10th to 90th $43 to $309
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 $144.54 Median $144.54 Typical High $239.88 | Facility | None | $144.54 | $144.54 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $125.89 | $144.54 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | None (both parts) | $128.82 | $128.82 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $645.65 Typical High $1,412.54 | Facility | None | $61.66 | $645.65 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $162.18 | $758.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $977.24 | Facility | None | $478.63 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $141.25 | $158.49 | $302.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $47.86 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $47.86 | $125.89 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $134.90 Typical High $223.87 | Facility | None | $67.61 | $134.90 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,412.54 | Facility | None | $446.68 | $691.83 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $162.18 | $223.87 | $316.23 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $120.23 | $123.03 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $123.03 | $165.96 | $263.03 |
16 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 $33.11 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $38.90 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $107.15 | $162.18 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $125.89 Typical High $346.74 | Professional | 26 · Professional part | $47.86 | $125.89 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $114.82 | $537.03 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $109.65 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $66.07 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $158.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $37.15 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $85.11 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $117.49 | $190.55 |
Where Washington sits
The same service costs 3.9 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· 30th of 51
$129
AK $347TX $89.13
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.