How much rates vary
Facilitymedian $4,266 · 10th to 90th $575 to $6,918Professionalmedian $776 · 10th to 90th $56 to $3,388
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 $6,918.31 | Facility | None | $1,819.70 | $1,819.70 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $3,388.44 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $75.86 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,819.70 Typical High $2,238.72 | Professional | TC · Technical part | $1,659.59 | $1,819.70 | $2,238.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $3,548.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $4,365.16 Typical High $8,912.51 | Facility | None | $416.87 | $4,365.16 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,621.81 Typical High $9,549.93 | Professional | None (both parts) | $776.25 | $1,621.81 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $218.78 Typical High $3,235.94 | Professional | 26 · Professional part | $93.33 | $218.78 | $3,235.94 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,584.89 Typical High $7,585.78 | Professional | TC · Technical part | $691.83 | $1,584.89 | $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 $707.95 Median $1,047.13 Typical High $2,041.74 | Professional | None (both parts) | $707.95 | $1,047.13 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $125.89 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $933.25 Typical High $1,778.28 | Professional | TC · Technical part | $630.96 | $933.25 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,258.93 Typical High $3,548.13 | Professional | None (both parts) | $134.90 | $1,258.93 | $3,548.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $36.31 | $58.88 | $67.61 |
Pacific Source Setting Facility Modifier None Typical Low $134.90 Median $1,380.38 Typical High $1,412.54 | Facility | None | $134.90 | $1,380.38 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $2,511.89 Typical High $2,511.89 | Facility | None | $776.25 | $2,511.89 | $2,511.89 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
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 $776.25 Median $1,202.26 Typical High $1,621.81 | Professional | None (both parts) | $776.25 | $1,202.26 | $1,621.81 |
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 $691.83 Median $1,071.52 Typical High $1,412.54 | Professional | TC · Technical part | $691.83 | $1,071.52 | $1,412.54 |
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 $1,659.59 Typical High $4,677.35 | Professional | None (both parts) | $1,288.25 | $1,659.59 | $4,677.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $75.86 | $204.17 |
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 $2,089.30 Median $2,187.76 Typical High $3,467.37 | Professional | None (both parts) | $2,089.30 | $2,187.76 | $3,467.37 |
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 3.6 times more in Nebraska than in Montana. 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· 49th of 51
$1,000
NE $3,162MT $871
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.