How much rates vary
Facilitymedian $1,202 · 10th to 90th $407 to $2,089Professionalmedian $457 · 10th to 90th $62 to $759
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 $407.38 Median $457.09 Typical High $2,089.30 | Facility | None | $407.38 | $457.09 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $269.15 | $407.38 | $602.56 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $2,398.83 | Facility | None | $218.78 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $977.24 Typical High $2,511.89 | Professional | None (both parts) | $436.52 | $977.24 | $2,511.89 |
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 $416.87 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $416.87 | $588.84 | $912.01 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $72.44 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $72.44 | $588.84 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $58.88 | $457.09 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $380.19 Typical High $676.08 | Facility | None | $44.67 | $380.19 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $416.87 Median $426.58 Typical High $426.58 | Facility | None | $416.87 | $426.58 | $426.58 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
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 $436.52 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $436.52 | $660.69 | $851.14 |
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 $257.04 Median $309.03 Typical High $891.25 | Professional | None (both parts) | $257.04 | $309.03 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $407.38 | $426.58 | $660.69 |
15 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 $34.67 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $41.69 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 52 · Reduced service | $204.17 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $371.54 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $60.26 | $72.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $120.23 Typical High $295.12 | Professional | 26 · Professional part | $51.29 | $120.23 | $295.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $851.14 Typical High $2,238.72 | Professional | TC · Technical part | $380.19 | $851.14 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $67.61 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $524.81 Typical High $812.83 | Professional | TC · Technical part | $371.54 | $524.81 | $812.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $77.62 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $588.84 Typical High $741.31 | Professional | TC · Technical part | $380.19 | $588.84 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $39.81 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $263.03 | $776.25 |
Where Washington sits
The same service costs 3.5 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
$457
AK $933KY $263
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.