How much rates vary
Facilitymedian $302 · 10th to 90th $54 to $501Professionalmedian $58 · 10th to 90th $28 to $100
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 $53.70 Median $53.70 Typical High $501.19 | Facility | None | $53.70 | $53.70 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $38.90 | $53.70 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $14.79 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $39.81 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $64.57 | $91.20 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $21.88 | $22.91 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $309.03 Typical High $630.96 | Facility | None | $34.67 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $61.66 | $288.40 | $398.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $18.20 | $83.18 | $109.65 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $44.67 | $208.93 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $128.82 | Professional | None (both parts) | $42.66 | $60.26 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $19.50 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $95.50 | Professional | TC · Technical part | $25.70 | $38.90 | $95.50 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $19.50 Median $43.65 Typical High $97.72 | Professional | None (both parts) | $19.50 | $43.65 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $53.70 Typical High $89.13 | Facility | None | $21.38 | $53.70 | $89.13 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $630.96 | Facility | None | $204.17 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $61.66 | $89.13 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $25.70 | $36.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $63.10 | $91.20 |
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 $38.90 Median $47.86 Typical High $117.49 | Professional | None (both parts) | $38.90 | $47.86 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $35.48 | Professional | 26 · Professional part | $13.80 | $14.79 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $81.28 | Professional | TC · Technical part | $23.99 | $34.67 | $81.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $47.86 | $64.57 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $13.18 | $17.78 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $47.86 | $77.62 |
1 more rate 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 $21.38 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $21.38 | $26.92 | $31.62 |
Where Washington sits
The same service costs 4.0 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· 18th of 51
$57.54
AK $132UT $33.11
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.