How much rates vary
Facilitymedian $389 · 10th to 90th $135 to $617Professionalmedian $170 · 10th to 90th $44 to $309
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 $141.25 Median $141.25 Typical High $234.42 | Facility | None | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $56.23 | $141.25 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $398.11 Typical High $776.25 | Facility | None | $102.33 | $398.11 | $776.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $190.55 | $891.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $549.54 | Facility | None | $257.04 | $316.23 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $117.49 | $165.96 | $416.87 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $58.88 Median $134.90 Typical High $338.84 | Professional | None (both parts) | $58.88 | $134.90 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $42.66 | $165.96 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $269.15 | Facility | None | $75.86 | $138.04 | $269.15 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $776.25 | Facility | None | $263.03 | $389.05 | $776.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $190.55 | $281.84 | $389.05 |
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 $87.10 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $87.10 | $165.96 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $194.98 | $204.17 | $309.03 |
14 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 $36.31 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $28.18 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $15.85 | $102.33 | $169.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $112.20 Typical High $426.58 | Professional | 26 · Professional part | $53.70 | $112.20 | $426.58 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $645.65 Typical High $851.14 | Professional | TC · Technical part | $134.90 | $645.65 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $67.61 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $58.88 | $100.00 | $302.00 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $83.18 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $204.17 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $51.29 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $107.15 Typical High $257.04 | Professional | TC · Technical part | $33.88 | $107.15 | $257.04 |
Where Washington sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 17th of 51
$170
AK $525MI $75.86
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.