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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $446.68 | $537.03 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $1,513.56 Typical High $3,090.30 | Facility | None | $295.12 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $2,691.53 Typical High $3,388.44 | Professional | None (both parts) | $575.44 | $2,691.53 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,995.26 | Facility | None | $1,023.29 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $676.08 Typical High $1,202.26 | Professional | None (both parts) | $524.81 | $676.08 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $75.86 Median $630.96 Typical High $1,096.48 | Professional | None (both parts) | $75.86 | $630.96 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $54.95 | $512.86 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $645.65 Typical High $776.25 | Facility | None | $74.13 | $645.65 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Premera BCBS 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 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,023.29 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $812.83 Typical High $1,148.15 | Professional | None (both parts) | $575.44 | $812.83 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,235.94 | Facility | None | $1,584.89 | $2,089.30 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $1,148.15 | Professional | None (both parts) | $380.19 | $467.74 | $1,148.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $416.87 Median $562.34 Typical High $912.01 | Professional | None (both parts) | $416.87 | $562.34 | $912.01 |
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 $48.98 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $512.86 | Professional | TC · Technical part | $389.05 | $478.63 | $512.86 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $302.00 Typical High $389.05 | Professional | 26 · Professional part | $66.07 | $302.00 | $389.05 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $2,398.83 Typical High $3,019.95 | Professional | TC · Technical part | $512.86 | $2,398.83 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $72.44 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $588.84 Typical High $1,071.52 | Professional | TC · Technical part | $467.74 | $588.84 | $1,071.52 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $95.50 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $707.95 Typical High $1,000.00 | Professional | TC · Technical part | $512.86 | $707.95 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $52.48 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $1,023.29 | Professional | TC · Technical part | $331.13 | $407.38 | $1,023.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $64.57 | $97.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $363.08 | $489.78 | $812.83 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 24th of 51
$537
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.