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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $257.04 | $257.04 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $1,698.24 Typical High $3,388.44 | Facility | None | $144.54 | $1,698.24 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $275.42 | $645.65 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $5,248.07 | Facility | None | $724.44 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $245.47 | $354.81 | $588.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $45.71 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $45.71 | $380.19 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $51.29 | $295.12 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $234.42 Typical High $380.19 | Facility | None | $45.71 | $234.42 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $3,388.44 | Facility | None | $912.01 | $1,513.56 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $275.42 | $426.58 | $562.34 |
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 $177.83 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $177.83 | $208.93 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $269.15 | $281.84 | $436.52 |
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 $26.30 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | TC · Technical part | $234.42 | $234.42 | $257.04 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $223.87 | Professional | 26 · Professional part | $31.62 | $58.88 | $223.87 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $562.34 Typical High $1,479.11 | Professional | TC · Technical part | $245.47 | $562.34 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $40.74 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $316.23 | $524.81 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $48.98 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $380.19 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $24.55 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $181.97 | $512.86 |
Where Washington sits
The same service costs 4.6 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· 18th of 51
$295
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.