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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None (both parts) | $707.95 | $707.95 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $549.54 Median $1,659.59 Typical High $3,388.44 | Facility | None | $549.54 | $1,659.59 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $4,168.69 Typical High $6,456.54 | Professional | None (both parts) | $891.25 | $4,168.69 | $6,456.54 |
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 $562.34 Median $891.25 Typical High $1,949.84 | Professional | None (both parts) | $562.34 | $891.25 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $158.49 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $158.49 | $870.96 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $831.76 Typical High $1,698.24 | Professional | None (both parts) | $138.04 | $831.76 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $954.99 Typical High $1,288.25 | Facility | None | $144.54 | $954.99 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
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 $891.25 Median $1,348.96 Typical High $1,819.70 | Professional | None (both parts) | $891.25 | $1,348.96 | $1,819.70 |
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 $457.09 Median $776.25 Typical High $1,698.24 | Professional | None (both parts) | $457.09 | $776.25 | $1,698.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $1,023.29 | $1,071.52 | $1,659.59 |
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 $81.28 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 52 · Reduced service | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | TC · Technical part | $616.60 | $616.60 | $758.58 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $114.82 | $676.08 | $758.58 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $3,715.35 Typical High $5,623.41 | Professional | TC · Technical part | $776.25 | $3,715.35 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $141.25 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $776.25 Typical High $1,737.80 | Professional | TC · Technical part | $467.74 | $776.25 | $1,737.80 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $114.82 | $173.78 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,174.90 Typical High $1,584.89 | Professional | TC · Technical part | $776.25 | $1,174.90 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $109.65 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $676.08 Typical High $1,479.11 | Professional | TC · Technical part | $371.54 | $676.08 | $1,479.11 |
Where Washington sits
The same service costs 6.0 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
$871
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.