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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $549.54 | $549.54 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $3,981.07 Typical High $8,128.31 | Facility | None | $288.40 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,318.26 Typical High $3,388.44 | Professional | None (both parts) | $588.84 | $1,318.26 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,047.13 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $562.34 | $794.33 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $69.18 Median $831.76 Typical High $1,230.27 | Professional | None (both parts) | $69.18 | $831.76 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $58.88 | $616.60 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $512.86 Typical High $794.33 | Facility | None | $69.18 | $512.86 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $575.44 | Facility | None | $562.34 | $575.44 | $575.44 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,128.31 | Facility | None | $2,454.71 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $588.84 | $891.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $7,762.47 | Facility | None | $3,801.89 | $5,011.87 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $1,174.90 | Professional | None (both parts) | $371.54 | $436.52 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $549.54 | $575.44 | $891.25 |
14 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 $39.81 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | TC · Technical part | $512.86 | $512.86 | $537.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $346.74 | Professional | 26 · Professional part | $48.98 | $89.13 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,202.26 Typical High $3,090.30 | Professional | TC · Technical part | $537.03 | $1,202.26 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $724.44 Typical High $1,148.15 | Professional | TC · Technical part | $512.86 | $724.44 | $1,148.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $74.13 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $831.76 Typical High $1,047.13 | Professional | TC · Technical part | $537.03 | $831.76 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $37.15 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $1,071.52 | Professional | TC · Technical part | $338.84 | $398.11 | $1,071.52 |
Where Washington sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 18th of 51
$617
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.