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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $251.19 | $251.19 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $2,398.83 | Facility | None | $138.04 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $602.56 Typical High $1,584.89 | Professional | None (both parts) | $269.15 | $602.56 | $1,584.89 |
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 $245.47 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $245.47 | $398.11 | $575.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $52.48 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $52.48 | $354.81 | $537.03 |
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 $53.70 Median $302.00 Typical High $416.87 | Facility | None | $53.70 | $302.00 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $263.03 | Facility | None | $251.19 | $263.03 | $263.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
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 $269.15 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $269.15 | $416.87 | $524.81 |
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 $177.83 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $177.83 | $218.78 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $257.04 | $269.15 | $416.87 |
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 $30.90 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | TC · Technical part | $218.78 | $218.78 | $229.09 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $239.88 | Professional | 26 · Professional part | $38.02 | $69.18 | $239.88 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $512.86 Typical High $1,380.38 | Professional | TC · Technical part | $229.09 | $512.86 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $56.23 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $213.80 | $338.84 | $489.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $58.88 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $354.81 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $81.28 | Professional | 26 · Professional part | $25.12 | $30.20 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $190.55 | $457.09 |
Where Washington sits
The same service costs 4.4 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· 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.