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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $309.03 | $416.87 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $218.78 Median $1,513.56 Typical High $3,090.30 | Facility | None | $218.78 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,000.00 Typical High $2,570.40 | Professional | None (both parts) | $446.68 | $1,000.00 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,995.26 | Facility | None | $794.33 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $416.87 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $63.10 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $63.10 | $630.96 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $58.88 | $457.09 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $537.03 Typical High $676.08 | Facility | None | $58.88 | $537.03 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $426.58 Median $436.52 Typical High $436.52 | Facility | None | $426.58 | $436.52 | $436.52 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,513.56 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $676.08 Typical High $870.96 | Professional | None (both parts) | $446.68 | $676.08 | $870.96 |
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 $295.12 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $295.12 | $331.13 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $416.87 | $436.52 | $676.08 |
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 $28.84 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 53 · Discontinued | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $380.19 | $436.52 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $338.84 | Professional | 26 · Professional part | $43.65 | $81.28 | $338.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $891.25 Typical High $2,290.87 | Professional | TC · Technical part | $398.11 | $891.25 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $380.19 | $537.03 | $851.14 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $67.61 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $616.60 Typical High $776.25 | Professional | TC · Technical part | $398.11 | $616.60 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $93.33 | Professional | 26 · Professional part | $28.84 | $33.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $812.83 | Professional | TC · Technical part | $269.15 | $302.00 | $812.83 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 16th of 51
$457
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.