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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $295.12 | $295.12 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $1,513.56 Typical High $3,090.30 | Facility | None | $165.96 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $724.44 Typical High $3,311.31 | Professional | None (both parts) | $316.23 | $724.44 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,995.26 | Facility | None | $1,023.29 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $295.12 | $426.58 | $676.08 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $134.90 | $354.81 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $66.07 | $251.19 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $457.09 | Facility | None | $100.00 | $275.42 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $316.23 | Facility | None | $302.00 | $316.23 | $316.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $3,090.30 | Facility | None | $891.25 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $316.23 | $489.78 | $616.60 |
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 $213.80 Median $257.04 Typical High $645.65 | Professional | None (both parts) | $213.80 | $257.04 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $309.03 | $323.59 | $489.78 |
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 $77.62 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | TC · Technical part | $213.80 | $213.80 | $223.87 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $173.78 Typical High $1,148.15 | Professional | 26 · Professional part | $93.33 | $173.78 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $2,290.87 | Professional | TC · Technical part | $223.87 | $501.19 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $123.03 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $302.00 | $478.63 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $144.54 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $346.74 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $199.53 | Professional | 26 · Professional part | $61.66 | $72.44 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $181.97 | $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· 41st of 51
$269
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.