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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $10.47 | Professional | 26 · Professional part | $8.51 | $8.51 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $77.62 | $77.62 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $3,981.07 Typical High $8,128.31 | Facility | None | $53.70 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $223.87 Typical High $616.60 | Professional | None (both parts) | $95.50 | $223.87 | $616.60 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.50 Typical High $128.82 | Professional | 26 · Professional part | $10.72 | $19.50 | $128.82 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $199.53 Typical High $562.34 | Professional | TC · Technical part | $85.11 | $199.53 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,248.07 | Facility | None | $2,691.53 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $100.00 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $9.55 | $15.85 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $134.90 | $190.55 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $14.79 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $14.79 | $138.04 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $54.95 | $120.23 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $114.82 Typical High $154.88 | Facility | None | $14.79 | $114.82 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $95.50 | Facility | None | $93.33 | $93.33 | $95.50 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,258.93 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $95.50 | $147.91 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $16.60 | $21.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $131.83 | $177.83 |
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 $61.66 Median $74.13 Typical High $208.93 | Professional | None (both parts) | $61.66 | $74.13 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $22.91 | Professional | 26 · Professional part | $7.08 | $8.51 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $66.07 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $100.00 | $104.71 | $162.18 |
2 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 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.50 |
Where Washington sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$120
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.