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 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $2,398.83 | Facility | None | $138.04 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $630.96 Typical High $1,621.81 | Professional | None (both parts) | $269.15 | $630.96 | $1,621.81 |
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 $251.19 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $251.19 | $354.81 | $575.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $85.11 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $85.11 | $338.84 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $51.29 | $257.04 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $380.19 | Facility | None | $83.18 | $295.12 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $2,398.83 | Facility | None | $758.58 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $269.15 | $416.87 | $549.54 |
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 $173.78 Median $208.93 Typical High $562.34 | Professional | None (both parts) | $173.78 | $208.93 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $263.03 | $275.42 | $416.87 |
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 $47.86 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $47.86 | $58.88 |
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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | TC · Technical part | $204.17 | $204.17 | $223.87 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $109.65 Typical High $512.86 | Professional | 26 · Professional part | $58.88 | $109.65 | $512.86 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $489.78 Typical High $1,258.93 | Professional | TC · Technical part | $213.80 | $489.78 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $281.84 | $467.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $91.20 | $120.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $331.13 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $45.71 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $162.18 | $446.68 |
Where Washington sits
The same service costs 5.0 times more in Alaska 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· 24th of 51
$263
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.