How much rates vary
Facilitymedian $141 · 10th to 90th $51 to $224Professionalmedian $158 · 10th to 90th $34 to $331
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 $141.25 Median $141.25 Typical High $309.03 | Facility | None | $141.25 | $141.25 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $75.86 | $141.25 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $251.19 | Professional | None (both parts) | $102.33 | $102.33 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $758.58 | Facility | None | $91.20 | $91.20 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $758.58 Typical High $1,047.13 | Professional | None (both parts) | $162.18 | $758.58 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $346.74 | Professional | None (both parts) | $112.20 | $123.03 | $346.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $50.12 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $50.12 | $131.83 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $33.11 | $158.49 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $144.54 Typical High $223.87 | Facility | None | $47.86 | $144.54 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $162.18 | $229.09 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $93.33 | $114.82 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $169.82 | $177.83 | $275.42 |
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 $23.99 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $30.20 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $50.12 | $109.65 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $51.29 | $51.29 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $37.15 | $169.82 | $223.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $588.84 Typical High $812.83 | Professional | TC · Technical part | $123.03 | $588.84 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $37.15 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $87.10 | $275.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $28.18 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $81.28 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $38.90 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $141.25 | $218.78 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in New York. 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· 15th of 51
$158
AK $355NY $79.43
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.