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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $776.25 | $776.25 | $954.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $1,659.59 Typical High $3,388.44 | Facility | None | $501.19 | $1,659.59 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $4,786.30 Typical High $5,888.44 | Professional | None (both parts) | $954.99 | $4,786.30 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,089.30 | Facility | None | $1,071.52 | $1,071.52 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,288.25 Typical High $2,137.96 | Professional | None (both parts) | $912.01 | $1,288.25 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $131.83 | $1,288.25 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $93.33 | $794.33 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $776.25 Typical High $1,348.96 | Facility | None | $131.83 | $776.25 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,047.13 | $1,659.59 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,445.44 Typical High $1,949.84 | Professional | None (both parts) | $954.99 | $1,445.44 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,311.31 | Facility | None | $1,621.81 | $2,137.96 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $691.83 | $870.96 | $1,905.46 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,000.00 Typical High $1,548.82 | Professional | None (both parts) | $954.99 | $1,000.00 | $1,548.82 |
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 $67.61 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | TC · Technical part | $707.95 | $707.95 | $851.14 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $194.98 Typical High $794.33 | Professional | 26 · Professional part | $93.33 | $194.98 | $794.33 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $4,466.84 Typical High $5,248.07 | Professional | TC · Technical part | $870.96 | $4,466.84 | $5,248.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $120.23 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,202.26 Typical High $1,949.84 | Professional | TC · Technical part | $831.76 | $1,202.26 | $1,949.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $144.54 | $199.53 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,318.26 Typical High $1,737.80 | Professional | TC · Technical part | $870.96 | $1,318.26 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $91.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $776.25 Typical High $1,698.24 | Professional | TC · Technical part | $630.96 | $776.25 | $1,698.24 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 24th of 51
$851
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.