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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $269.15 | $269.15 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $1,148.15 Typical High $2,398.83 | Facility | None | $151.36 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $676.08 Typical High $1,778.28 | Professional | None (both parts) | $288.40 | $676.08 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Facility | None | $776.25 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $263.03 | $380.19 | $630.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $45.71 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $45.71 | $407.38 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $151.36 | $331.13 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $257.04 Typical High $389.05 | Facility | None | $38.02 | $257.04 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Facility | None | $281.84 | $281.84 | $288.40 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $2,398.83 | Facility | None | $776.25 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $288.40 | $446.68 | $588.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,548.82 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $616.60 | Professional | None (both parts) | $186.21 | $218.78 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $288.40 | $302.00 | $467.74 |
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 $25.70 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $245.47 | $245.47 | $275.42 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $331.13 | Professional | 26 · Professional part | $31.62 | $58.88 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $602.56 Typical High $1,584.89 | Professional | TC · Technical part | $257.04 | $602.56 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $41.69 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $338.84 | $575.44 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $48.98 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $398.11 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $69.18 | Professional | 26 · Professional part | $20.89 | $24.55 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $194.98 | $549.54 |
Where Washington sits
The same service costs 4.8 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· 14th of 51
$331
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.