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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $426.58 | $426.58 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $1,659.59 Typical High $3,388.44 | Facility | None | $316.23 | $1,659.59 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $3,162.28 Typical High $3,630.78 | Professional | None (both parts) | $562.34 | $3,162.28 | $3,630.78 |
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 $467.74 Median $676.08 Typical High $1,230.27 | Professional | None (both parts) | $467.74 | $676.08 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $281.84 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $489.78 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $912.01 | Professional | None (both parts) | $186.21 | $426.58 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $389.05 Typical High $758.58 | Facility | None | $229.09 | $389.05 | $758.58 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $478.63 | $478.63 | $489.78 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
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 $562.34 Median $870.96 Typical High $1,230.27 | Professional | None (both parts) | $562.34 | $870.96 | $1,230.27 |
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 $416.87 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $512.86 | $1,122.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $588.84 Median $616.60 Typical High $933.25 | Professional | None (both parts) | $588.84 | $616.60 | $933.25 |
15 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 $199.53 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $199.53 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $229.09 | $229.09 | $275.42 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $1,584.89 Typical High $1,698.24 | Professional | 26 · Professional part | $269.15 | $1,584.89 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,348.96 Typical High $1,949.84 | Professional | TC · Technical part | $288.40 | $1,348.96 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $575.44 | Professional | 26 · Professional part | $234.42 | $338.84 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $331.13 | $676.08 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $416.87 Typical High $588.84 | Professional | 26 · Professional part | $269.15 | $416.87 | $588.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $630.96 | Professional | TC · Technical part | $288.40 | $457.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $549.54 | Professional | 26 · Professional part | $223.87 | $263.03 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $263.03 | $588.84 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 36th of 51
$457
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.