How much rates vary
Facilitymedian $1,995 · 10th to 90th $759 to $3,311Professionalmedian $977 · 10th to 90th $417 to $2,089
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $912.01 Typical High $1,513.56 | Professional | None (both parts) | $741.31 | $912.01 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $2,089.30 Typical High $4,168.69 | Facility | None | $691.83 | $2,089.30 | $4,168.69 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $1,230.27 | $6,309.57 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,511.89 | Facility | None | $1,479.11 | $1,479.11 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,479.11 Typical High $2,691.53 | Professional | None (both parts) | $977.24 | $1,479.11 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $588.84 | $1,071.52 | $2,187.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $398.11 Median $933.25 Typical High $1,995.26 | Professional | None (both parts) | $398.11 | $933.25 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,659.59 | Facility | None | $549.54 | $912.01 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $1,258.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $4,168.69 | Facility | None | $1,412.54 | $2,041.74 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,905.46 Typical High $2,691.53 | Professional | None (both parts) | $1,230.27 | $1,905.46 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,168.69 | Facility | None | $2,041.74 | $2,691.53 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,096.48 Typical High $2,454.71 | Professional | None (both parts) | $977.24 | $1,096.48 | $2,454.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,348.96 Typical High $2,041.74 | Professional | None (both parts) | $1,318.26 | $1,348.96 | $2,041.74 |
16 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 $446.68 Median $467.74 Typical High $741.31 | Professional | 26 · Professional part | $446.68 | $467.74 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | 52 · Reduced service | $457.09 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 53 · Discontinued | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $467.74 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 26 · Professional part | $933.25 | $933.25 | $933.25 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $1,288.25 Typical High $5,011.87 | Professional | 26 · Professional part | $616.60 | $1,288.25 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,318.26 Typical High $4,168.69 | Professional | TC · Technical part | $602.56 | $1,318.26 | $4,168.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $812.83 Typical High $1,318.26 | Professional | 26 · Professional part | $537.03 | $812.83 | $1,318.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $630.96 Typical High $1,445.44 | Professional | TC · Technical part | $446.68 | $630.96 | $1,445.44 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $954.99 Typical High $1,318.26 | Professional | 26 · Professional part | $616.60 | $954.99 | $1,318.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $954.99 Typical High $1,348.96 | Professional | TC · Technical part | $602.56 | $954.99 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $616.60 Typical High $1,230.27 | Professional | 26 · Professional part | $562.34 | $616.60 | $1,230.27 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $537.03 Typical High $1,230.27 | Professional | TC · Technical part | $323.59 | $537.03 | $1,230.27 |
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
$977
AK $3,715FL $661
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.