How much rates vary
Facilitymedian $263 · 10th to 90th $126 to $398Professionalmedian $158 · 10th to 90th $43 to $324
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 $117.49 Median $138.04 Typical High $144.54 | Facility | None | $117.49 | $138.04 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $102.33 | $138.04 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $257.04 Typical High $524.81 | Facility | None | $91.20 | $257.04 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $741.31 Typical High $1,071.52 | Professional | None (both parts) | $190.55 | $741.31 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $363.08 | Facility | None | $125.89 | $269.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $173.78 | $190.55 | $363.08 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $47.86 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $47.86 | $154.88 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $38.90 | $151.36 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $263.03 | Facility | None | $69.18 | $162.18 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $524.81 | Facility | None | $147.91 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $190.55 | $263.03 | $363.08 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $354.81 | Professional | None (both parts) | $138.04 | $144.54 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $128.82 | $173.78 | $275.42 |
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 $33.88 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $39.81 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $97.72 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $57.54 | $57.54 | $61.66 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $269.15 Typical High $281.84 | Professional | 26 · Professional part | $48.98 | $269.15 | $281.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $512.86 Typical High $776.25 | Professional | TC · Technical part | $141.25 | $512.86 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $48.98 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $141.25 | $275.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $67.61 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $194.98 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $38.02 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $107.15 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $46.77 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $125.89 | $208.93 |
Where Washington sits
The same service costs 3.7 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· 21st of 51
$158
AK $363TX $97.72
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.