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 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $1,122.02 Typical High $1,659.59 | Facility | None | $125.89 | $1,122.02 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $575.44 Typical High $1,445.44 | Professional | None (both parts) | $275.42 | $575.44 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $398.11 | Professional | 26 · Professional part | $33.88 | $61.66 | $398.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $512.86 Typical High $1,258.93 | Professional | TC · Technical part | $239.88 | $512.86 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $1,513.56 | Facility | None | $524.81 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $229.09 | $323.59 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $288.40 | $512.86 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $46.77 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $46.77 | $354.81 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $112.20 | $239.88 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $295.12 Typical High $338.84 | Facility | None | $45.71 | $295.12 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $269.15 | Facility | None | $257.04 | $269.15 | $269.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,659.59 | Facility | None | $758.58 | $1,148.15 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $275.42 | $416.87 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $52.48 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $239.88 | $354.81 | $446.68 |
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 $154.88 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $154.88 | $186.21 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $25.12 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $158.49 | $446.68 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $234.42 | $245.47 | $380.19 |
2 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 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 |
Where Washington sits
The same service costs 5.5 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· 19th of 51
$251
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.