How much rates vary
Facilitymedian $316 · 10th to 90th $8 to $501Professionalmedian $10 · 10th to 90th $7 to $27
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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | None (both parts) | $8.32 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $2.95 Typical High $3.55 | Professional | 26 · Professional part | $2.63 | $2.95 | $3.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $5.37 Typical High $6.03 | Professional | TC · Technical part | $5.25 | $5.37 | $6.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.75 Median $309.03 Typical High $630.96 | Facility | None | $5.75 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $20.89 Typical High $776.25 | Professional | None (both parts) | $9.77 | $20.89 | $776.25 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $3.72 | $74.13 | $81.28 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $13.49 Typical High $758.58 | Professional | TC · Technical part | $6.03 | $13.49 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $457.09 | Facility | None | $234.42 | $346.74 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.71 Median $12.02 Typical High $22.39 | Professional | None (both parts) | $8.71 | $12.02 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.80 Typical High $7.24 | Professional | 26 · Professional part | $2.95 | $3.80 | $7.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $7.24 Typical High $14.45 | Professional | TC · Technical part | $5.37 | $7.24 | $14.45 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $3.89 Median $8.91 Typical High $16.98 | Professional | None (both parts) | $3.89 | $8.91 | $16.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $1.66 Median $3.39 Typical High $5.01 | Professional | None (both parts) | $1.66 | $3.39 | $5.01 |
Pacific Source Setting Facility Modifier None Typical Low $4.79 Median $7.94 Typical High $14.13 | Facility | None | $4.79 | $7.94 | $14.13 |
Premera BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $10.00 | Facility | None | $9.55 | $9.55 | $10.00 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 26 · Professional part | $3.63 | $3.63 | $3.63 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | TC · Technical part | $6.46 | $6.46 | $6.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $630.96 | Facility | None | $218.78 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $9.77 Median $14.45 Typical High $20.89 | Professional | None (both parts) | $9.77 | $14.45 | $20.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $5.25 Typical High $7.59 | Professional | 26 · Professional part | $3.72 | $5.25 | $7.59 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $9.12 Typical High $13.18 | Professional | TC · Technical part | $6.03 | $9.12 | $13.18 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $7.08 Median $8.71 Typical High $23.99 | Professional | None (both parts) | $7.08 | $8.71 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $2.95 Typical High $7.59 | Professional | 26 · Professional part | $2.82 | $2.95 | $7.59 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.13 Typical High $13.80 | Professional | TC · Technical part | $4.37 | $5.13 | $13.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.47 Typical High $16.98 | Professional | None (both parts) | $7.76 | $10.47 | $16.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.55 Typical High $5.37 | Professional | 26 · Professional part | $2.63 | $3.55 | $5.37 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $6.92 Typical High $11.48 | Professional | TC · Technical part | $5.13 | $6.92 | $11.48 |
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 $4.17 Median $4.17 Typical High $4.79 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.95 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.95 |
Where Washington sits
The same service costs 4.2 times more in Kansas than in Florida. 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· 27th of 51
$10.47
KS $23.99FL $5.75
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.