How much rates vary
Facilitymedian $1,148 · 10th to 90th $78 to $1,862Professionalmedian $120 · 10th to 90th $60 to $191
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | 26 · Professional part | $10.47 | $10.47 | $12.88 |
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 $54.95 Median $1,202.26 Typical High $2,398.83 | Facility | None | $54.95 | $1,202.26 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $229.09 Typical High $630.96 | Professional | None (both parts) | $97.72 | $229.09 | $630.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $23.99 Typical High $141.25 | Professional | 26 · Professional part | $12.88 | $23.99 | $141.25 |
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 $776.25 Median $776.25 Typical High $1,513.56 | Facility | None | $776.25 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $93.33 | $154.88 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $19.05 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $134.90 | $190.55 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $18.62 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $18.62 | $138.04 | $208.93 |
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 $18.20 Median $117.49 Typical High $154.88 | Facility | None | $18.20 | $117.49 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $97.72 | Facility | None | $95.50 | $95.50 | $97.72 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
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 $794.33 Median $1,174.90 Typical High $2,398.83 | Facility | None | $794.33 | $1,174.90 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $97.72 | $151.36 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $19.95 | $26.92 |
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 $1,174.90 Median $1,548.82 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,548.82 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $213.80 | Professional | None (both parts) | $63.10 | $77.62 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $28.18 | Professional | 26 · Professional part | $8.51 | $10.00 | $28.18 |
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 $102.33 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $102.33 | $107.15 | $165.96 |
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 $43.65 Median $43.65 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.95 |
Where Washington sits
The same service costs 7.2 times more in Alabama than in Texas. 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
AL $479TX $66.07
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.