How much rates vary
Facilitymedian $110 · 10th to 90th $46 to $191Professionalmedian $107 · 10th to 90th $26 to $234
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $104.71 | $107.15 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $457.09 | Facility | None | $72.44 | $100.00 | $457.09 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $1,737.80 | Professional | None (both parts) | $125.89 | $239.88 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $109.65 | $147.91 | $281.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $46.77 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $46.77 | $128.82 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $100.00 Typical High $234.42 | Professional | None (both parts) | $24.55 | $100.00 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $117.49 Typical High $181.97 | Facility | None | $45.71 | $117.49 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $128.82 | Facility | None | $123.03 | $123.03 | $128.82 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $125.89 | $186.21 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $251.19 | Professional | None (both parts) | $95.50 | $102.33 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $134.90 | $141.25 | $208.93 |
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 $61.66 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $74.13 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $32.36 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $512.86 Typical High $562.34 | Professional | 26 · Professional part | $89.13 | $512.86 | $562.34 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $69.18 Typical High $1,412.54 | Professional | TC · Technical part | $36.31 | $69.18 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $91.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $28.84 | $38.90 | $87.10 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $131.83 | $186.21 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $36.31 | $53.70 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $72.44 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $79.43 | Professional | TC · Technical part | $25.70 | $30.20 | $79.43 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $97.72 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $42.66 | $66.07 |
Where Washington sits
The same service costs 5.2 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· 34th of 51
$107
AK $309TX $58.88
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.