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 $67.61 Median $331.13 Typical High $524.81 | Facility | None | $67.61 | $331.13 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $30.90 | $67.61 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $56.23 | $72.44 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.99 Median $295.12 Typical High $630.96 | Facility | None | $23.99 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $77.62 | $363.08 | $549.54 |
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 $58.88 Median $69.18 Typical High $144.54 | Professional | None (both parts) | $58.88 | $69.18 | $144.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $20.42 Median $54.95 Typical High $125.89 | Professional | None (both parts) | $20.42 | $54.95 | $125.89 |
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 $41.69 Median $64.57 Typical High $125.89 | Facility | None | $41.69 | $64.57 | $125.89 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | None (both parts) | $61.66 | $61.66 | $64.57 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $87.10 | Facility | None | $75.86 | $75.86 | $87.10 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
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 $77.62 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $77.62 | $117.49 | $158.49 |
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 $36.31 Median $57.54 Typical High $141.25 | Professional | None (both parts) | $36.31 | $57.54 | $141.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $66.07 | $89.13 | $141.25 |
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 Facility Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $38.90 | Facility | 26 · Professional part | $25.70 | $25.70 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $57.54 | Facility | TC · Technical part | $40.74 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $25.70 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $10.96 | $40.74 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $52.48 | $58.88 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $31.62 | $194.98 | $269.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $45.71 | $213.80 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $32.36 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $19.05 | $39.81 | $74.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $60.26 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $57.54 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $70.79 | Professional | 26 · Professional part | $24.55 | $26.30 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $10.96 | $33.11 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $43.65 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $45.71 | $74.13 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 19th of 51
$69.18
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.