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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $302.00 | Professional | None (both parts) | $263.03 | $263.03 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $1,148.15 Typical High $2,398.83 | Facility | None | $154.88 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $645.65 Typical High $1,778.28 | Professional | None (both parts) | $281.84 | $645.65 | $1,778.28 |
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 $275.42 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $275.42 | $389.05 | $602.56 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $66.07 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $66.07 | $371.54 | $588.84 |
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 $64.57 Median $269.15 Typical High $416.87 | Facility | None | $64.57 | $269.15 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $275.42 | Facility | None | $269.15 | $275.42 | $275.42 |
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 $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 $281.84 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $281.84 | $426.58 | $562.34 |
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 $190.55 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $190.55 | $213.80 | $588.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $288.40 | $302.00 | $467.74 |
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 $37.15 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $223.87 | $223.87 | $245.47 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $104.71 Typical High $281.84 | Professional | 26 · Professional part | $45.71 | $104.71 | $281.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $537.03 Typical High $1,513.56 | Professional | TC · Technical part | $234.42 | $537.03 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $331.13 | $512.86 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $70.79 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $363.08 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $35.48 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $177.83 | $489.78 |
Where Washington sits
The same service costs 4.6 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· 19th 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.