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 $120.23 Median $120.23 Typical High $125.89 | Facility | None | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $120.23 | $120.23 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $323.59 Typical High $630.96 | Facility | None | $69.18 | $323.59 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $128.82 | $602.56 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $446.68 | Facility | None | $257.04 | $371.54 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $114.82 | $125.89 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $38.90 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $38.90 | $100.00 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $34.67 | $107.15 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $125.89 Typical High $199.53 | Facility | None | $52.48 | $125.89 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $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 $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 $128.82 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $128.82 | $177.83 | $251.19 |
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 $97.72 Median $97.72 Typical High $239.88 | Professional | None (both parts) | $97.72 | $97.72 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $95.50 | $128.82 | $208.93 |
15 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 $32.36 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $32.36 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $87.10 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $181.97 Typical High $234.42 | Professional | 26 · Professional part | $38.90 | $181.97 | $234.42 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $91.20 | $426.58 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $38.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $87.10 | $169.82 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $54.95 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $125.89 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $30.20 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $69.18 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $38.02 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $91.20 | $151.36 |
Where Washington sits
The same service costs 3.9 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· 23rd of 51
$115
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.