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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,479.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $3,388.44 | Facility | None | $794.33 | $1,659.59 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $6,918.31 Typical High $9,332.54 | Professional | None (both parts) | $1,479.11 | $6,918.31 | $9,332.54 |
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 $1,258.93 Median $1,778.28 Typical High $3,311.31 | Professional | None (both parts) | $1,258.93 | $1,778.28 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,862.09 Typical High $2,818.38 | Professional | None (both parts) | $190.55 | $1,862.09 | $2,818.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,258.93 Typical High $2,511.89 | Professional | None (both parts) | $138.04 | $1,258.93 | $2,511.89 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $1,202.26 Typical High $2,137.96 | Facility | None | $112.20 | $1,202.26 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,659.59 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,290.87 Typical High $3,019.95 | Professional | None (both parts) | $1,479.11 | $2,290.87 | $3,019.95 |
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 $1,000.00 Median $1,348.96 Typical High $2,884.03 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $2,884.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,584.89 Typical High $2,454.71 | Professional | None (both parts) | $1,513.56 | $1,584.89 | $2,454.71 |
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 $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $741.31 | Professional | 52 · Reduced service | $602.56 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | 53 · Discontinued | $239.88 | $239.88 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $275.42 Typical High $1,148.15 | Professional | 26 · Professional part | $131.83 | $275.42 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $6,309.57 Typical High $8,511.38 | Professional | TC · Technical part | $1,348.96 | $6,309.57 | $8,511.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $112.20 | $169.82 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,621.81 Typical High $3,019.95 | Professional | TC · Technical part | $1,148.15 | $1,621.81 | $3,019.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $204.17 Typical High $281.84 | Professional | 26 · Professional part | $131.83 | $204.17 | $281.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,089.30 Typical High $2,754.23 | Professional | TC · Technical part | $1,348.96 | $2,089.30 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $125.89 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,230.27 Typical High $2,570.40 | Professional | TC · Technical part | $891.25 | $1,230.27 | $2,570.40 |
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· 21st of 51
$1,349
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.