How much rates vary
Facilitymedian $1,698 · 10th to 90th $195 to $3,090Professionalmedian $240 · 10th to 90th $49 to $407
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $218.78 | $218.78 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $1,698.24 Typical High $3,388.44 | Facility | None | $125.89 | $1,698.24 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $512.86 Typical High $1,445.44 | Professional | None (both parts) | $239.88 | $512.86 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,659.59 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $234.42 | $338.84 | $478.63 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $67.61 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $67.61 | $295.12 | $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 $66.07 Median $257.04 Typical High $363.08 | Facility | None | $66.07 | $257.04 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $234.42 | Facility | None | $213.80 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,388.44 | Facility | None | $954.99 | $1,513.56 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $239.88 | $354.81 | $446.68 |
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 $154.88 Median $173.78 Typical High $467.74 | Professional | None (both parts) | $154.88 | $173.78 | $467.74 |
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 |
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 $40.74 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
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 $186.21 Median $398.11 Typical High $1,148.15 | Professional | TC · Technical part | $186.21 | $398.11 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $269.15 | $371.54 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
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 $186.21 Median $269.15 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $269.15 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $38.02 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $120.23 | $144.54 | $363.08 |
Where Washington sits
The same service costs 4.8 times more in Alabama than in Texas. 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· 22nd of 51
$240
AL $661TX $138
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.