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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $114.82 | $138.04 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $1,148.15 Typical High $2,398.83 | Facility | None | $74.13 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $1,122.02 | Professional | None (both parts) | $154.88 | $269.15 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,513.56 | Facility | None | $489.78 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $131.83 | $190.55 | $295.12 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $33.88 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $33.88 | $186.21 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $31.62 | $144.54 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $128.82 Typical High $190.55 | Facility | None | $29.51 | $128.82 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $151.36 | Facility | None | $131.83 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,398.83 | Facility | None | $575.44 | $1,148.15 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $154.88 | $229.09 | $288.40 |
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 $95.50 Median $112.20 Typical High $288.40 | Professional | None (both parts) | $95.50 | $112.20 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $141.25 | $147.91 | $223.87 |
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 $18.20 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $117.49 | $134.90 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $44.67 Typical High $338.84 | Professional | 26 · Professional part | $23.99 | $44.67 | $338.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $794.33 | Professional | TC · Technical part | $128.82 | $229.09 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $30.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $162.18 | $245.47 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $37.15 | $47.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $194.98 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $15.49 | $18.62 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $239.88 | Professional | TC · Technical part | $79.43 | $93.33 | $239.88 |
Where Washington sits
The same service costs 5.5 times more in Alabama than in Florida. 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· 19th of 51
$148
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.