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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $213.80 | $229.09 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $1,148.15 Typical High $2,398.83 | Facility | None | $128.82 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $245.47 | $562.34 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,513.56 | Facility | None | $588.84 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $223.87 | $323.59 | $524.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $70.79 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $70.79 | $309.03 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $47.86 | $234.42 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $204.17 Typical High $331.13 | Facility | None | $61.66 | $204.17 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $245.47 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $245.47 | $380.19 | $489.78 |
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 $162.18 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $162.18 | $186.21 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $239.88 | $251.19 | $389.05 |
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 $39.81 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $39.81 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $177.83 | $186.21 | $199.53 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $331.13 | Professional | 26 · Professional part | $50.12 | $91.20 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $199.53 | $446.68 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $64.57 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $257.04 | $426.58 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $77.62 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $302.00 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $107.15 | Professional | 26 · Professional part | $33.11 | $38.02 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $407.38 | Professional | TC · Technical part | $128.82 | $147.91 | $407.38 |
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· 21st of 51
$240
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.