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 $457.09 Median $457.09 Typical High $758.58 | Facility | None | $457.09 | $457.09 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $316.23 | $457.09 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,137.96 | Facility | None | $346.74 | $1,047.13 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $2,884.03 Typical High $3,981.07 | Professional | None (both parts) | $616.60 | $2,884.03 | $3,981.07 |
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 $426.58 Median $630.96 Typical High $1,380.38 | Professional | None (both parts) | $426.58 | $630.96 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $501.19 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $457.09 Typical High $1,000.00 | Professional | None (both parts) | $162.18 | $457.09 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $562.34 Typical High $912.01 | Facility | None | $269.15 | $562.34 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $630.96 | Facility | None | $602.56 | $602.56 | $630.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $2,137.96 | Facility | None | $724.44 | $1,047.13 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $954.99 | $1,318.26 |
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 $436.52 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $549.54 | $1,230.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $645.65 Median $676.08 Typical High $1,047.13 | Professional | None (both parts) | $645.65 | $676.08 | $1,047.13 |
13 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 $131.83 Median $147.91 Typical High $251.19 | Professional | 26 · Professional part | $131.83 | $147.91 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $309.03 | $512.86 |
Ambetter 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 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $954.99 Typical High $1,258.93 | Professional | 26 · Professional part | $204.17 | $954.99 | $1,258.93 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,905.46 Typical High $2,691.53 | Professional | TC · Technical part | $407.38 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $436.52 | Professional | 26 · Professional part | $177.83 | $257.04 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $251.19 | $407.38 | $954.99 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $316.23 Typical High $436.52 | Professional | 26 · Professional part | $204.17 | $316.23 | $436.52 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $630.96 Typical High $891.25 | Professional | TC · Technical part | $407.38 | $630.96 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $194.98 Typical High $407.38 | Professional | 26 · Professional part | $177.83 | $194.98 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $354.81 | $812.83 |
Where Washington sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 31st of 51
$468
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.