How much rates vary
Facilitymedian $1,479 · 10th to 90th $117 to $2,512Professionalmedian $240 · 10th to 90th $120 to $398
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $165.96 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $15.49 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $199.53 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $1,513.56 Typical High $3,090.30 | Facility | None | $117.49 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $229.09 | $524.81 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $36.31 Typical High $141.25 | Professional | 26 · Professional part | $19.05 | $36.31 | $141.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $478.63 Typical High $1,258.93 | Professional | TC · Technical part | $208.93 | $478.63 | $1,258.93 |
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 $213.80 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $213.80 | $309.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $25.70 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $281.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $27.54 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $27.54 | $331.13 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $112.20 | $239.88 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $239.88 Typical High $331.13 | Facility | None | $25.70 | $239.88 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,513.56 Typical High $3,090.30 | Facility | None | $776.25 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $229.09 | $354.81 | $457.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $29.51 | $38.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $208.93 | $323.59 | $416.87 |
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 $151.36 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $151.36 | $173.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $40.74 | Professional | 26 · Professional part | $12.88 | $15.14 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $162.18 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $223.87 | $229.09 | $363.08 |
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 $107.15 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $42.66 | $42.66 | $48.98 |
Where Washington sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 18th of 51
$240
AL $562IN $132
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.