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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $20.89 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | TC · Technical part | $104.71 | $104.71 | $125.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $1,148.15 Typical High $2,398.83 | Facility | None | $77.62 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $933.25 | Professional | None (both parts) | $141.25 | $331.13 | $933.25 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $47.86 Typical High $186.21 | Professional | 26 · Professional part | $25.70 | $47.86 | $186.21 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $213.80 Typical High $812.83 | Professional | TC · Technical part | $114.82 | $213.80 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,513.56 | Facility | None | $478.63 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $123.03 | $181.97 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $147.91 | $257.04 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $36.31 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $36.31 | $186.21 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $81.28 | $177.83 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $120.23 Typical High $204.17 | Facility | None | $37.15 | $120.23 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
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 $141.25 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $141.25 | $218.78 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $39.81 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $177.83 | $239.88 |
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 $91.20 Median $112.20 Typical High $309.03 | Professional | None (both parts) | $91.20 | $112.20 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $56.23 | Professional | 26 · Professional part | $17.38 | $20.42 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $91.20 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $144.54 | $151.36 | $234.42 |
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 $63.10 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $25.12 | $29.51 |
Where Washington sits
The same service costs 5.0 times more in Alabama than in New York. 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· 14th of 51
$178
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.