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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $3,388.44 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $81.28 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,584.89 Typical High $1,698.24 | Professional | TC · Technical part | $1,348.96 | $1,584.89 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $3,981.07 Typical High $8,128.31 | Facility | None | $309.03 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,230.27 Typical High $10,232.93 | Professional | None (both parts) | $588.84 | $1,230.27 | $10,232.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $234.42 Typical High $3,162.28 | Professional | 26 · Professional part | $100.00 | $234.42 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $1,148.15 Typical High $7,585.78 | Professional | TC · Technical part | $489.78 | $1,148.15 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,011.87 | Facility | None | $2,691.53 | $2,691.53 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $1,412.54 | Professional | None (both parts) | $489.78 | $741.31 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $83.18 | $125.89 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $616.60 Typical High $1,174.90 | Professional | TC · Technical part | $407.38 | $616.60 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,862.09 Typical High $3,162.28 | Professional | None (both parts) | $141.25 | $1,862.09 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $20.42 | $114.82 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $812.83 Typical High $870.96 | Facility | None | $144.54 | $812.83 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $2,511.89 Typical High $2,511.89 | Facility | None | $575.44 | $2,511.89 | $2,511.89 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,128.31 | Facility | None | $2,454.71 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $891.25 Typical High $1,230.27 | Professional | None (both parts) | $588.84 | $891.25 | $1,230.27 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $154.88 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $758.58 Typical High $1,000.00 | Professional | TC · Technical part | $489.78 | $758.58 | $1,000.00 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $7,762.47 | Facility | None | $3,801.89 | $5,011.87 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,513.56 Typical High $4,265.80 | Professional | None (both parts) | $1,148.15 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $213.80 | Professional | 26 · Professional part | $66.07 | $79.43 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,445.44 Typical High $3,981.07 | Professional | TC · Technical part | $1,071.52 | $1,445.44 | $3,981.07 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,412.54 Typical High $2,187.76 | Professional | None (both parts) | $1,348.96 | $1,412.54 | $2,187.76 |
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 $758.58 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $758.58 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $302.00 | $323.59 | $323.59 |
Where Washington sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 51st of 51
$575
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.