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 $489.78 Median $812.83 Typical High $1,778.28 | Facility | None | $489.78 | $812.83 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $467.74 | $489.78 | $851.14 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $436.52 | $537.03 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $1,047.13 Typical High $2,137.96 | Facility | None | $354.81 | $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 $4,073.80 | Professional | None (both parts) | $616.60 | $2,884.03 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,412.54 | Facility | None | $660.69 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,380.38 | Professional | None (both parts) | $616.60 | $870.96 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $602.56 | $1,174.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $186.21 | $436.52 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $933.25 | Facility | None | $371.54 | $489.78 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Facility | None | $616.60 | $616.60 | $645.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
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 $616.60 Median $977.24 Typical High $1,348.96 | Professional | None (both parts) | $616.60 | $977.24 | $1,348.96 |
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 $562.34 Median $616.60 Typical High $1,318.26 | Professional | None (both parts) | $562.34 | $616.60 | $1,318.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $660.69 Median $691.83 Typical High $1,047.13 | Professional | None (both parts) | $660.69 | $691.83 | $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 $194.98 Median $218.78 Typical High $371.54 | Professional | 26 · Professional part | $194.98 | $218.78 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $269.15 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $457.09 | Professional | 26 · Professional part | $181.97 | $229.09 | $457.09 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $1,412.54 Typical High $1,862.09 | Professional | 26 · Professional part | $302.00 | $1,412.54 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,479.11 Typical High $2,187.76 | Professional | TC · Technical part | $316.23 | $1,479.11 | $2,187.76 |
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 $346.74 Median $478.63 Typical High $758.58 | Professional | TC · Technical part | $346.74 | $478.63 | $758.58 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
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 $316.23 Median $512.86 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $512.86 | $707.95 |
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 $295.12 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $331.13 | $691.83 |
Where Washington sits
The same service costs 4.4 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· 47th 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.