How much rates vary
Facilitymedian $263 · 10th to 90th $87 to $407Professionalmedian $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 $125.89 Typical High $181.97 | Facility | None | $125.89 | $125.89 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $93.33 | $125.89 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $239.88 Typical High $524.81 | Facility | None | $51.29 | $239.88 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $141.25 | $645.65 | $831.76 |
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 $125.89 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $125.89 | $138.04 | $263.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.90 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $38.90 | $107.15 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $34.67 | $104.71 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $138.04 Typical High $194.98 | Facility | None | $52.48 | $138.04 | $194.98 |
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 $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 $141.25 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $141.25 | $194.98 | $269.15 |
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 $104.71 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $104.71 | $107.15 | $257.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $100.00 | $134.90 | $218.78 |
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 $28.84 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $33.88 | $63.10 |
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 $64.57 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $64.57 | $93.33 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $40.74 | $239.88 | $239.88 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $467.74 Typical High $602.56 | Professional | TC · Technical part | $100.00 | $467.74 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $97.72 | $190.55 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $56.23 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $31.62 | $77.62 |
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 $28.84 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $38.90 | $58.88 |
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· 25th of 51
$117
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.