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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $263.03 | $263.03 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $758.58 Typical High $1,548.82 | Facility | None | $186.21 | $758.58 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,584.89 Typical High $2,187.76 | Professional | None (both parts) | $338.84 | $1,584.89 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $954.99 | Facility | None | $446.68 | $446.68 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $269.15 | $389.05 | $758.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $107.15 | $363.08 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $67.61 | $269.15 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $501.19 | Facility | None | $91.20 | $389.05 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Facility | None | $331.13 | $331.13 | $338.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,548.82 | Facility | None | $446.68 | $758.58 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $338.84 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,513.56 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $269.15 | $309.03 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $354.81 | $371.54 | $575.44 |
12 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 $53.70 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $208.93 | $208.93 | $257.04 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $346.74 Typical High $457.09 | Professional | 26 · Professional part | $74.13 | $346.74 | $457.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,230.27 Typical High $1,698.24 | Professional | TC · Technical part | $263.03 | $1,230.27 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $93.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $302.00 | $602.56 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $114.82 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $407.38 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $72.44 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $234.42 | $512.86 |
Where Washington sits
The same service costs 5.8 times more in Oklahoma 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· 32nd of 51
$288
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.