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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $102.33 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $67.61 | $70.79 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $69.18 Typical High $100.00 | Facility | None | $30.20 | $69.18 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $281.84 Typical High $954.99 | Professional | None (both parts) | $131.83 | $281.84 | $954.99 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $48.98 | $245.47 | $281.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $676.08 Typical High $758.58 | Professional | TC · Technical part | $83.18 | $676.08 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $281.84 | Professional | None (both parts) | $104.71 | $114.82 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $42.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $72.44 | $181.97 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $6.31 Median $77.62 Typical High $173.78 | Professional | None (both parts) | $6.31 | $77.62 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $10.23 | $35.48 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $1.82 Median $52.48 Typical High $93.33 | Facility | None | $1.82 | $52.48 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $131.83 | $186.21 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $69.18 | $97.72 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $117.49 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $97.72 | $104.71 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $35.48 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $67.61 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $51.29 | $53.70 | $77.62 |
2 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 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Where Washington sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 33rd of 51
$102
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.