How much rates vary
Facilitymedian $98 · 10th to 90th $15 to $174Professionalmedian $120 · 10th to 90th $60 to $191
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $75.86 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $8.51 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $69.18 | $87.10 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $331.13 | Facility | None | $54.95 | $54.95 | $331.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $100.00 | $218.78 | $630.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $22.91 Typical High $154.88 | Professional | 26 · Professional part | $10.23 | $22.91 | $154.88 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $575.44 | Professional | TC · Technical part | $89.13 | $194.98 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $338.84 | Facility | None | $151.36 | $173.78 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $95.50 | $138.04 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $13.49 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $123.03 | $190.55 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $14.79 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $14.79 | $138.04 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $54.95 | $120.23 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $114.82 Typical High $131.83 | Facility | None | $14.79 | $114.82 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $97.72 Typical High $97.72 | Facility | None | $93.33 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $331.13 | Facility | None | $89.13 | $89.13 | $331.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $100.00 | $151.36 | $190.55 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $15.85 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $138.04 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $66.07 | $77.62 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $21.88 | Professional | 26 · Professional part | $6.76 | $7.94 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $60.26 | $64.57 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $104.71 | $107.15 | $169.82 |
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 $47.86 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $19.05 | $21.88 |
Where Washington sits
The same service costs 4.6 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· 12th of 51
$120
AK $275KY $60.26
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.