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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $134.90 | $134.90 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $1,202.26 Typical High $2,398.83 | Facility | None | $83.18 | $1,202.26 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $151.36 | $354.81 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $1,513.56 | Facility | None | $645.65 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $138.04 | $239.88 | $331.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $46.77 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $46.77 | $190.55 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $42.66 | $181.97 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $165.96 Typical High $263.03 | Facility | None | $46.77 | $165.96 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $151.36 | Facility | None | $147.91 | $147.91 | $151.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $151.36 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $151.36 | $234.42 | $316.23 |
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 $97.72 Median $125.89 Typical High $323.59 | Professional | None (both parts) | $97.72 | $125.89 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $154.88 | $162.18 | $245.47 |
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 $27.54 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $26.92 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | TC · Technical part | $107.15 | $107.15 | $123.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $281.84 | Professional | 26 · Professional part | $33.88 | $61.66 | $281.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $912.01 | Professional | TC · Technical part | $117.49 | $218.78 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $48.98 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $186.21 | $263.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $52.48 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $186.21 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $26.92 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $95.50 | $257.04 |
Where Washington sits
The same service costs 4.6 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· 18th of 51
$186
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.