How much rates vary
Facilitymedian $1,148 · 10th to 90th $95 to $1,862Professionalmedian $186 · 10th to 90th $48 to $316
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $1,148.15 Typical High $2,398.83 | Facility | None | $95.50 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $398.11 Typical High $1,862.09 | Professional | None (both parts) | $169.82 | $398.11 | $1,862.09 |
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 $165.96 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $165.96 | $275.42 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $46.77 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $46.77 | $223.87 | $354.81 |
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 $42.66 Median $199.53 Typical High $446.68 | Facility | None | $42.66 | $199.53 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,398.83 | Facility | None | $575.44 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $169.82 | $263.03 | $354.81 |
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 $109.65 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $109.65 | $147.91 | $371.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $177.83 | $186.21 | $288.40 |
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 $75.86 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $125.89 | $144.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $457.09 | Professional | 26 · Professional part | $33.88 | $61.66 | $457.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $1,698.24 | Professional | TC · Technical part | $138.04 | $263.03 | $1,698.24 |
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 $138.04 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $223.87 | $309.03 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
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 $138.04 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $213.80 | $288.40 |
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 $87.10 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $123.03 | $302.00 |
Where Washington sits
The same service costs 5.2 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· 32nd of 51
$186
AL $550TX $105
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.