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 $275.42 Median $457.09 Typical High $1,862.09 | Facility | None | $275.42 | $457.09 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $229.09 | $275.42 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $1,148.15 Typical High $2,398.83 | Facility | None | $154.88 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $676.08 Typical High $1,778.28 | Professional | None (both parts) | $302.00 | $676.08 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Facility | None | $776.25 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $281.84 | $407.38 | $630.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $89.13 | $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 $85.11 Median $316.23 Typical High $436.52 | Facility | None | $85.11 | $316.23 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $295.12 Typical High $295.12 | Facility | None | $288.40 | $295.12 | $295.12 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $2,398.83 | Facility | None | $707.95 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $302.00 | $457.09 | $588.84 |
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 $199.53 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $199.53 | $234.42 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $295.12 | $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 $42.66 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $51.29 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $229.09 | $457.09 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $114.82 Typical High $524.81 | Professional | 26 · Professional part | $63.10 | $114.82 | $524.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $537.03 Typical High $1,412.54 | Professional | TC · Technical part | $234.42 | $537.03 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $83.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $323.59 | $512.86 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $97.72 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $371.54 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $47.86 | $134.90 |
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 3.5 times more in Wisconsin 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· 26th 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.