How much rates vary
Facilitymedian $3,981 · 10th to 90th $501 to $6,761Professionalmedian $490 · 10th to 90th $200 to $1,047
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 $501.19 Median $501.19 Typical High $6,760.83 | Facility | None | $501.19 | $501.19 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $870.96 | Professional | None (both parts) | $501.19 | $512.86 | $870.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $426.58 | $501.19 | $549.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $363.08 Median $3,890.45 Typical High $7,943.28 | Facility | None | $363.08 | $3,890.45 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $645.65 | $7,585.78 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $4,897.79 | Facility | None | $2,454.71 | $3,235.94 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $831.76 Typical High $1,412.54 | Professional | None (both parts) | $588.84 | $831.76 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $616.60 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $467.74 Typical High $977.24 | Professional | None (both parts) | $194.98 | $467.74 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $1,698.24 | Facility | None | $380.19 | $512.86 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Facility | None | $630.96 | $630.96 | $660.69 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $7,943.28 | Facility | None | $2,398.83 | $3,890.45 | $7,943.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,000.00 Typical High $1,380.38 | Professional | None (both parts) | $645.65 | $1,000.00 | $1,380.38 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,317.64 | Facility | None | $4,073.80 | $5,370.32 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $575.44 | $616.60 | $1,445.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $676.08 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $676.08 | $707.95 | $1,071.52 |
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 $204.17 Median $218.78 Typical High $371.54 | Professional | 26 · Professional part | $204.17 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | 52 · Reduced service | $251.19 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 53 · Discontinued | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $281.84 | $309.03 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $338.84 Typical High $426.58 | Professional | 26 · Professional part | $194.98 | $338.84 | $426.58 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $1,698.24 Typical High $1,862.09 | Professional | 26 · Professional part | $302.00 | $1,698.24 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $724.44 Typical High $6,456.54 | Professional | TC · Technical part | $338.84 | $724.44 | $6,456.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $380.19 Typical High $645.65 | Professional | 26 · Professional part | $263.03 | $380.19 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $467.74 Typical High $812.83 | Professional | TC · Technical part | $331.13 | $467.74 | $812.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $467.74 Typical High $645.65 | Professional | 26 · Professional part | $302.00 | $467.74 | $645.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $537.03 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $288.40 Typical High $602.56 | Professional | 26 · Professional part | $263.03 | $288.40 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $831.76 | Professional | TC · Technical part | $309.03 | $338.84 | $831.76 |
Where Washington sits
The same service costs 4.9 times more in Alaska 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· 46th of 51
$490
AK $1,905FL $389
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.