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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $263.03 | $426.58 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $1,148.15 Typical High $2,398.83 | Facility | None | $229.09 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,023.29 Typical High $2,630.27 | Professional | None (both parts) | $457.09 | $1,023.29 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,513.56 | Facility | None | $660.69 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $426.58 | $616.60 | $977.24 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $91.20 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $91.20 | $616.60 | $912.01 |
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 $85.11 Median $436.52 Typical High $660.69 | Facility | None | $85.11 | $436.52 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | None | $436.52 | $446.68 | $446.68 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
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 $457.09 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $457.09 | $707.95 | $891.25 |
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 $302.00 Median $346.74 Typical High $933.25 | Professional | None (both parts) | $302.00 | $346.74 | $933.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $426.58 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $426.58 | $446.68 | $691.83 |
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 $42.66 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $52.48 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $380.19 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $147.91 Typical High $371.54 | Professional | 26 · Professional part | $63.10 | $147.91 | $371.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $870.96 Typical High $2,290.87 | Professional | TC · Technical part | $389.05 | $870.96 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $83.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $371.54 | $537.03 | $851.14 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $97.72 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $602.56 Typical High $758.58 | Professional | TC · Technical part | $389.05 | $602.56 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $134.90 | Professional | 26 · Professional part | $42.66 | $48.98 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $295.12 | $794.33 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$457
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.