How much rates vary
Facilitymedian $1,622 · 10th to 90th $417 to $2,570Professionalmedian $589 · 10th to 90th $251 to $1,230
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $562.34 | $562.34 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,659.59 Typical High $3,388.44 | Facility | None | $416.87 | $1,659.59 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $3,388.44 Typical High $4,786.30 | Professional | None (both parts) | $741.31 | $3,388.44 | $4,786.30 |
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 $616.60 Median $891.25 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $891.25 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $380.19 Median $676.08 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $676.08 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $251.19 | $562.34 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $954.99 | Facility | None | $245.47 | $501.19 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $758.58 | Facility | None | $724.44 | $724.44 | $758.58 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
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 $741.31 Median $1,148.15 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $1,148.15 | $1,621.81 |
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 $575.44 Median $676.08 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $676.08 | $1,479.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $776.25 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $776.25 | $812.83 | $1,230.27 |
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 $295.12 Median $295.12 Typical High $380.19 | Professional | 26 · Professional part | $295.12 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | 52 · Reduced service | $275.42 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | TC · Technical part | $263.03 | $263.03 | $316.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $2,344.23 Typical High $2,511.89 | Professional | 26 · Professional part | $407.38 | $2,344.23 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $1,949.84 Typical High $2,238.72 | Professional | TC · Technical part | $331.13 | $1,949.84 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $501.19 Typical High $870.96 | Professional | 26 · Professional part | $354.81 | $501.19 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $269.15 | $380.19 | $776.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $630.96 Typical High $870.96 | Professional | 26 · Professional part | $407.38 | $630.96 | $870.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $331.13 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $389.05 Typical High $812.83 | Professional | 26 · Professional part | $338.84 | $389.05 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $676.08 | Professional | TC · Technical part | $239.88 | $302.00 | $676.08 |
Where Washington sits
The same service costs 5.6 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· 36th of 51
$589
AK $2,239TX $398
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.