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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,819.70 Typical High $2,754.23 | Professional | None (both parts) | $1,778.28 | $1,819.70 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $281.84 | Professional | 26 · Professional part | $89.13 | $93.33 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,819.70 Typical High $2,630.27 | Professional | TC · Technical part | $1,513.56 | $1,819.70 | $2,630.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $4,365.16 Typical High $8,912.51 | Facility | None | $389.05 | $4,365.16 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,479.11 Typical High $10,232.93 | Professional | None (both parts) | $707.95 | $1,479.11 | $10,232.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $269.15 Typical High $2,754.23 | Professional | 26 · Professional part | $114.82 | $269.15 | $2,754.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,412.54 Typical High $7,585.78 | Professional | TC · Technical part | $602.56 | $1,412.54 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $5,495.41 | Facility | None | $3,090.30 | $3,090.30 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $977.24 Typical High $1,905.46 | Professional | None (both parts) | $660.69 | $977.24 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $281.84 | Professional | 26 · Professional part | $104.71 | $158.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $831.76 Typical High $1,621.81 | Professional | TC · Technical part | $562.34 | $831.76 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $165.96 Median $2,754.23 Typical High $3,981.07 | Professional | None (both parts) | $165.96 | $2,754.23 | $3,981.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $30.20 | $169.82 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $794.33 Typical High $1,318.26 | Facility | None | $112.20 | $794.33 | $1,318.26 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,511.89 Typical High $2,511.89 | Facility | None | $707.95 | $2,511.89 | $2,511.89 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $8,912.51 | Facility | None | $2,754.23 | $4,365.16 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,096.48 Typical High $1,479.11 | Professional | None (both parts) | $707.95 | $1,096.48 | $1,479.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $177.83 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $933.25 Typical High $1,230.27 | Professional | TC · Technical part | $602.56 | $933.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $8,511.38 | Facility | None | $4,168.69 | $5,495.41 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,698.24 Typical High $4,786.30 | Professional | None (both parts) | $1,288.25 | $1,698.24 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $75.86 | $93.33 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,621.81 Typical High $4,466.84 | Professional | TC · Technical part | $1,230.27 | $1,621.81 | $4,466.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,089.30 Typical High $3,311.31 | Professional | None (both parts) | $1,995.26 | $2,089.30 | $3,311.31 |
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 $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $758.58 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $302.00 | $363.08 | $363.08 |
Where Washington sits
The same service costs 15.1 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
$204
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.