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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $371.54 | $524.81 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $794.33 Typical High $1,548.82 | Facility | None | $407.38 | $794.33 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $3,235.94 Typical High $4,786.30 | Professional | None (both parts) | $691.83 | $3,235.94 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $954.99 | Facility | None | $446.68 | $446.68 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $741.31 Typical High $1,659.59 | Professional | None (both parts) | $512.86 | $741.31 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $138.04 Median $758.58 Typical High $1,318.26 | Professional | None (both parts) | $138.04 | $758.58 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $630.96 Typical High $1,230.27 | Professional | None (both parts) | $93.33 | $630.96 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $954.99 | Facility | None | $134.90 | $575.44 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $741.31 | Facility | None | $676.08 | $676.08 | $741.31 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $1,548.82 | Facility | None | $602.56 | $776.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,122.02 Typical High $1,548.82 | Professional | None (both parts) | $691.83 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,513.56 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $426.58 | $616.60 | $1,445.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $776.25 Median $812.83 Typical High $1,258.93 | Professional | None (both parts) | $776.25 | $812.83 | $1,258.93 |
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 $67.61 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $457.09 | $562.34 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $199.53 Typical High $1,047.13 | Professional | 26 · Professional part | $95.50 | $199.53 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $2,818.38 Typical High $4,168.69 | Professional | TC · Technical part | $602.56 | $2,818.38 | $4,168.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $123.03 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $616.60 Typical High $1,479.11 | Professional | TC · Technical part | $436.52 | $616.60 | $1,479.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $147.91 | $204.17 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $977.24 Typical High $1,348.96 | Professional | TC · Technical part | $602.56 | $977.24 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $93.33 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $524.81 Typical High $1,258.93 | Professional | TC · Technical part | $363.08 | $524.81 | $1,258.93 |
Where Washington sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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· 19th of 51
$646
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.