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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $338.84 | $346.74 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $3,981.07 Typical High $8,128.31 | Facility | None | $181.97 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $794.33 Typical High $2,137.96 | Professional | None (both parts) | $363.08 | $794.33 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $5,248.07 | Facility | None | $870.96 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $338.84 | $524.81 | $776.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $46.77 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $46.77 | $501.19 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $57.54 | $398.11 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $331.13 Typical High $549.54 | Facility | None | $47.86 | $331.13 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $354.81 | Facility | None | $338.84 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,348.96 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $363.08 | $562.34 | $691.83 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $7,762.47 | Facility | None | $3,801.89 | $5,011.87 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $724.44 | Professional | None (both parts) | $239.88 | $295.12 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $346.74 | $363.08 | $562.34 |
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 $27.54 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $309.03 | $316.23 | $316.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $371.54 | Professional | 26 · Professional part | $33.88 | $61.66 | $371.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $724.44 Typical High $1,949.84 | Professional | TC · Technical part | $331.13 | $724.44 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $48.98 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $309.03 | $478.63 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $52.48 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $512.86 Typical High $630.96 | Professional | TC · Technical part | $331.13 | $512.86 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $26.92 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $269.15 | $645.65 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in Texas. 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· 17th of 51
$407
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.