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 $436.52 Median $549.54 Typical High $2,691.53 | Facility | None | $436.52 | $549.54 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $288.40 | $436.52 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $1,513.56 Typical High $3,090.30 | Facility | None | $234.42 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,047.13 Typical High $2,691.53 | Professional | None (both parts) | $467.74 | $1,047.13 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,995.26 | Facility | None | $794.33 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $977.24 | Professional | None (both parts) | $436.52 | $630.96 | $977.24 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $109.65 Median $616.60 Typical High $933.25 | Professional | None (both parts) | $109.65 | $616.60 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $58.88 | $457.09 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $676.08 | Facility | None | $83.18 | $426.58 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $457.09 | Facility | None | $446.68 | $457.09 | $457.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $3,090.30 | Facility | None | $812.83 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $467.74 | $707.95 | $912.01 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,235.94 | Facility | None | $1,584.89 | $2,089.30 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $354.81 Typical High $954.99 | Professional | None (both parts) | $309.03 | $354.81 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $436.52 | $457.09 | $707.95 |
15 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 $51.29 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $61.66 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $371.54 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $177.83 Typical High $446.68 | Professional | 26 · Professional part | $75.86 | $177.83 | $446.68 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $870.96 Typical High $2,238.72 | Professional | TC · Technical part | $389.05 | $870.96 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $102.33 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $371.54 | $524.81 | $831.76 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $117.49 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $602.56 Typical High $758.58 | Professional | TC · Technical part | $389.05 | $602.56 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $58.88 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $295.12 | $776.25 |
Where Washington sits
The same service costs 4.0 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· 21st of 51
$457
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.