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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $23.99 | $23.99 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | TC · Technical part | $190.55 | $190.55 | $208.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $1,148.15 Typical High $2,398.83 | Facility | None | $117.49 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $537.03 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $537.03 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $28.84 | $67.61 | $177.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $1,202.26 | Professional | TC · Technical part | $204.17 | $467.74 | $1,202.26 |
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 $213.80 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $213.80 | $302.00 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $38.02 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $263.03 | $436.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $41.69 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $41.69 | $316.23 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $109.65 | $239.88 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $199.53 Typical High $354.81 | Facility | None | $25.70 | $199.53 | $354.81 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $229.09 Typical High $229.09 | Facility | None | $223.87 | $229.09 | $229.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $2,398.83 | Facility | None | $707.95 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $229.09 | $354.81 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $44.67 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $309.03 | $407.38 |
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 $138.04 Median $165.96 Typical High $478.63 | Professional | None (both parts) | $138.04 | $165.96 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $63.10 | Professional | 26 · Professional part | $19.50 | $22.39 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $416.87 | Professional | TC · Technical part | $120.23 | $144.54 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $223.87 | $234.42 | $363.08 |
2 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 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $42.66 | $50.12 |
Where Washington sits
The same service costs 4.7 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· 17th of 51
$240
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.