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 $95.50 Median $95.50 Typical High $158.49 | Facility | None | $95.50 | $95.50 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $37.15 | $95.50 | $151.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $100.00 | Facility | None | $30.20 | $61.66 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $891.25 | Professional | None (both parts) | $109.65 | $204.17 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $239.88 | Professional | None (both parts) | $85.11 | $93.33 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $32.36 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $32.36 | $83.18 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $75.86 Typical High $234.42 | Professional | None (both parts) | $24.55 | $75.86 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $158.49 | Facility | None | $48.98 | $81.28 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Facility | None | $107.15 | $107.15 | $109.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $109.65 | $158.49 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $70.79 | $81.28 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $114.82 | $120.23 | $181.97 |
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 $17.38 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $17.38 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $19.95 | $58.88 | $89.13 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $263.03 Typical High $269.15 | Professional | 26 · Professional part | $43.65 | $263.03 | $269.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $724.44 | Professional | TC · Technical part | $67.61 | $125.89 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $45.71 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $47.86 | $151.36 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $61.66 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $95.50 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $21.88 | $33.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $47.86 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $45.71 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $74.13 | $117.49 |
Where Washington sits
The same service costs 5.9 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· 29th of 51
$81.28
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.