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 $549.54 Median $891.25 Typical High $2,754.23 | Facility | None | $549.54 | $891.25 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $549.54 Typical High $1,096.48 | Professional | None (both parts) | $407.38 | $549.54 | $1,096.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $1,513.56 Typical High $3,090.30 | Facility | None | $288.40 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,230.27 Typical High $3,311.31 | Professional | None (both parts) | $575.44 | $1,230.27 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,995.26 | Facility | None | $933.25 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $549.54 | $794.33 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $83.18 | $794.33 | $1,174.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $562.34 Typical High $912.01 | Professional | None (both parts) | $58.88 | $562.34 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $512.86 Typical High $776.25 | Facility | None | $83.18 | $512.86 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | None | $549.54 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $3,090.30 | Facility | None | $912.01 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $891.25 Typical High $1,122.02 | Professional | None (both parts) | $575.44 | $891.25 | $1,122.02 |
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 $389.05 Median $457.09 Typical High $1,174.90 | Professional | None (both parts) | $389.05 | $457.09 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $870.96 | Professional | None (both parts) | $537.03 | $562.34 | $870.96 |
12 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 $37.15 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $47.86 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $371.54 | $501.19 | $1,000.00 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $134.90 Typical High $338.84 | Professional | 26 · Professional part | $57.54 | $134.90 | $338.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,148.15 Typical High $2,951.21 | Professional | TC · Technical part | $512.86 | $1,148.15 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $77.62 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $724.44 Typical High $1,122.02 | Professional | TC · Technical part | $501.19 | $724.44 | $1,122.02 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $89.13 | $120.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $794.33 Typical High $1,000.00 | Professional | TC · Technical part | $512.86 | $794.33 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $44.67 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $1,047.13 | Professional | TC · Technical part | $346.74 | $407.38 | $1,047.13 |
Where Washington sits
The same service costs 3.7 times more in Alaska 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· 20th of 51
$562
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.