How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $93.33 | $97.72 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $39.81 Median $58.88 Typical High $58.88 | Facility | None | $39.81 | $58.88 | $58.88 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $257.04 Typical High $676.08 | Professional | None (both parts) | $109.65 | $257.04 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $102.33 | $144.54 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $51.29 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $51.29 | $117.49 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $40.74 | $125.89 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $93.33 Typical High $154.88 | Facility | None | $44.67 | $93.33 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $109.65 | $169.82 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $234.42 | Professional | None (both parts) | $72.44 | $85.11 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $112.20 | $114.82 | $177.83 |
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 $28.18 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $30.20 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $69.18 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $85.11 Typical High $213.80 | Professional | 26 · Professional part | $36.31 | $85.11 | $213.80 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $169.82 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $100.00 | $162.18 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $56.23 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $112.20 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $77.62 | Professional | 26 · Professional part | $23.99 | $28.18 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $158.49 | Professional | TC · Technical part | $48.98 | $56.23 | $158.49 |
Where Washington sits
The same service costs 4.6 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· 13th of 51
$126
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.