How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,096 to $3,548Professionalmedian $1,259 · 10th to 90th $141 to $2,455
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,348.96 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $1,995.26 Typical High $4,168.69 | Facility | None | $776.25 | $1,995.26 | $4,168.69 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $6,456.54 Typical High $9,120.11 | Professional | None (both parts) | $1,380.38 | $6,456.54 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,511.89 | Facility | None | $1,479.11 | $1,479.11 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,318.26 Typical High $2,884.03 | Professional | None (both parts) | $912.01 | $1,318.26 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,445.44 Typical High $2,454.71 | Professional | None (both parts) | $190.55 | $1,445.44 | $2,454.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,202.26 Typical High $2,454.71 | Professional | None (both parts) | $138.04 | $1,202.26 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $1,548.82 Typical High $2,041.74 | Facility | None | $173.78 | $1,548.82 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,348.96 | $1,348.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $4,168.69 | Facility | None | $1,230.27 | $1,995.26 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,041.74 Typical High $2,691.53 | Professional | None (both parts) | $1,380.38 | $2,041.74 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,168.69 | Facility | None | $2,041.74 | $2,691.53 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,122.02 Typical High $2,511.89 | Professional | None (both parts) | $776.25 | $1,122.02 | $2,511.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,513.56 Typical High $2,398.83 | Professional | None (both parts) | $1,479.11 | $1,513.56 | $2,398.83 |
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 $97.72 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $218.78 | $218.78 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,230.27 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,230.27 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $281.84 Typical High $1,445.44 | Professional | 26 · Professional part | $138.04 | $281.84 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $5,754.40 Typical High $8,128.31 | Professional | TC · Technical part | $1,230.27 | $5,754.40 | $8,128.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $173.78 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,148.15 Typical High $2,630.27 | Professional | TC · Technical part | $794.33 | $1,148.15 | $2,630.27 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $213.80 Typical High $281.84 | Professional | 26 · Professional part | $138.04 | $213.80 | $281.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,819.70 Typical High $2,398.83 | Professional | TC · Technical part | $1,230.27 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $275.42 | Professional | 26 · Professional part | $120.23 | $131.83 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $977.24 Typical High $2,238.72 | Professional | TC · Technical part | $691.83 | $977.24 | $2,238.72 |
Where Washington sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 16th of 51
$1,288
AK $3,802IN $692
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.