How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | TC · Technical part | $23.44 | $23.44 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $31.62 | Facility | None | $17.38 | $31.62 | $31.62 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $107.15 Typical High $1,737.80 | Professional | None (both parts) | $57.54 | $107.15 | $1,737.80 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $58.88 Typical High $218.78 | Professional | 26 · Professional part | $32.36 | $58.88 | $218.78 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $47.86 Typical High $1,621.81 | Professional | TC · Technical part | $25.70 | $47.86 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $52.48 | $79.43 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $42.66 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $36.31 | $58.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $36.31 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $36.31 | $53.70 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $60.26 Typical High $89.13 | Professional | None (both parts) | $28.18 | $60.26 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $44.67 Typical High $85.11 | Facility | None | $31.62 | $44.67 | $85.11 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $57.54 | $89.13 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $50.12 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $40.74 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $151.36 | Professional | None (both parts) | $38.02 | $46.77 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $24.55 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $20.89 | $77.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $58.88 | $61.66 | $93.33 |
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 $25.12 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | 53 · Discontinued | $10.00 | $10.00 | $11.75 |
Where Washington sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 32nd of 51
$60.26
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.