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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $269.15 | $269.15 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $1,698.24 Typical High $3,388.44 | Facility | None | $151.36 | $1,698.24 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $676.08 Typical High $1,778.28 | Professional | None (both parts) | $288.40 | $676.08 | $1,778.28 |
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 $281.84 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $281.84 | $398.11 | $616.60 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $83.18 | $371.54 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $51.29 | $295.12 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $302.00 Typical High $407.38 | Facility | None | $72.44 | $302.00 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $3,388.44 | Facility | None | $891.25 | $1,513.56 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $288.40 | $446.68 | $588.84 |
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 $194.98 Median $229.09 Typical High $616.60 | Professional | None (both parts) | $194.98 | $229.09 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $288.40 | $302.00 | $467.74 |
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 $48.98 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $218.78 | $239.88 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $109.65 Typical High $354.81 | Professional | 26 · Professional part | $58.88 | $109.65 | $354.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $537.03 Typical High $1,412.54 | Professional | TC · Technical part | $229.09 | $537.03 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $79.43 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $323.59 | $501.19 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $91.20 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $229.09 | $354.81 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $128.82 | Professional | 26 · Professional part | $38.90 | $45.71 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $478.63 | Professional | TC · Technical part | $158.49 | $186.21 | $478.63 |
Where Washington sits
The same service costs 4.6 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· 25th of 51
$295
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.