How much rates vary
Facilitymedian $295 · 10th to 90th $74 to $525Professionalmedian $115 · 10th to 90th $39 to $240
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 $125.89 Median $134.90 Typical High $549.54 | Facility | None | $125.89 | $134.90 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $112.20 | $125.89 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $81.28 | $169.82 | $204.17 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $295.12 Typical High $630.96 | Facility | None | $51.29 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $141.25 | $660.69 | $851.14 |
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 $81.28 Median $102.33 Typical High $275.42 | Professional | None (both parts) | $81.28 | $102.33 | $275.42 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $37.15 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $37.15 | $91.20 | $218.78 |
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 $48.98 Median $93.33 Typical High $186.21 | Facility | None | $48.98 | $93.33 | $186.21 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | None (both parts) | $51.29 | $51.29 | $114.82 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $630.96 | Facility | None | $218.78 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $141.25 | $190.55 | $269.15 |
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 $104.71 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $104.71 | $109.65 | $257.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $102.33 | $138.04 | $223.87 |
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 $34.67 Median $34.67 Typical High $44.67 | Facility | 26 · Professional part | $34.67 | $34.67 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $107.15 | Facility | TC · Technical part | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $34.67 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $91.20 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $50.12 | $56.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $229.09 Typical High $245.47 | Professional | 26 · Professional part | $41.69 | $229.09 | $245.47 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $457.09 Typical High $602.56 | Professional | TC · Technical part | $97.72 | $457.09 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $194.98 | Professional | TC · Technical part | $42.66 | $61.66 | $194.98 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $57.54 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $134.90 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $32.36 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $75.86 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $40.74 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $97.72 | $158.49 |
Where Washington sits
The same service costs 4.2 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· 26th of 51
$115
AK $302UT $72.44
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.