How much rates vary
Facilitymedian $1,072 · 10th to 90th $525 to $2,138Professionalmedian $537 · 10th to 90th $120 to $1,072
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 $524.81 Median $870.96 Typical High $4,786.30 | Facility | None | $524.81 | $870.96 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $478.63 | $524.81 | $831.76 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $389.05 | $457.09 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $1,047.13 Typical High $2,137.96 | Facility | None | $331.13 | $1,047.13 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,230.27 Typical High $4,466.84 | Professional | None (both parts) | $630.96 | $1,230.27 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,288.25 | Facility | None | $660.69 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $630.96 | $870.96 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $158.49 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $158.49 | $794.33 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $114.82 | $501.19 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $724.44 Typical High $977.24 | Facility | None | $144.54 | $724.44 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,137.96 | Facility | None | $676.08 | $1,047.13 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $630.96 | $954.99 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $1,318.26 | Professional | None (both parts) | $537.03 | $630.96 | $1,318.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $616.60 Median $645.65 Typical High $1,000.00 | Professional | None (both parts) | $616.60 | $645.65 | $1,000.00 |
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 $70.79 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $416.87 | $446.68 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $134.90 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $234.42 Typical High $1,348.96 | Professional | 26 · Professional part | $112.20 | $234.42 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,023.29 Typical High $3,162.28 | Professional | TC · Technical part | $512.86 | $1,023.29 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $138.04 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $724.44 Typical High $1,122.02 | Professional | TC · Technical part | $537.03 | $724.44 | $1,122.02 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $501.19 | $501.19 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $169.82 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $794.33 Typical High $1,023.29 | Professional | TC · Technical part | $512.86 | $794.33 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $107.15 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $1,071.52 | Professional | TC · Technical part | $436.52 | $524.81 | $1,071.52 |
Where Washington sits
The same service costs 4.6 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· 28th of 51
$550
AK $1,698TX $372
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.