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 $69.18 Median $72.44 Typical High $3,715.35 | Facility | None | $69.18 | $72.44 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $67.61 | $69.18 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $58.88 | $61.66 | $75.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $380.19 Typical High $776.25 | Facility | None | $50.12 | $380.19 | $776.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $89.13 | $478.63 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $478.63 | Facility | None | $257.04 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $79.43 | $114.82 | $194.98 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $165.96 | Professional | None (both parts) | $47.86 | $79.43 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $70.79 Typical High $147.91 | Professional | None (both parts) | $30.20 | $70.79 | $147.91 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $131.83 | Facility | None | $38.02 | $64.57 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Facility | None | $87.10 | $87.10 | $91.20 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $776.25 | Facility | None | $251.19 | $380.19 | $776.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $89.13 | $138.04 | $194.98 |
United Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Facility | None | $398.11 | $524.81 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $77.62 | $85.11 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $93.33 | $97.72 | $147.91 |
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 $28.18 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $35.48 | $38.90 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $53.70 | $66.07 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $91.20 Typical High $389.05 | Professional | 26 · Professional part | $43.65 | $91.20 | $389.05 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $95.50 Typical High $389.05 | Professional | TC · Technical part | $44.67 | $95.50 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $54.95 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $41.69 | $60.26 | $104.71 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $67.61 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $69.18 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $41.69 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $43.65 | $91.20 |
Where Washington sits
The same service costs 4.7 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· 40th of 51
$74.13
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.