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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $257.04 | $257.04 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $141.25 Median $1,148.15 Typical High $2,398.83 | Facility | None | $141.25 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $275.42 | $645.65 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $1,513.56 | Facility | None | $645.65 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $257.04 | $371.54 | $602.56 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $66.07 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $66.07 | $371.54 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $51.29 | $295.12 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $323.59 Typical High $426.58 | Facility | None | $61.66 | $323.59 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $275.42 | Facility | None | $269.15 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
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 $275.42 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $275.42 | $426.58 | $562.34 |
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 $213.80 Typical High $575.44 | Professional | None (both parts) | $186.21 | $213.80 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $269.15 | $281.84 | $436.52 |
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 $38.02 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $218.78 | $239.88 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $363.08 | Professional | 26 · Professional part | $46.77 | $87.10 | $363.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $524.81 Typical High $1,380.38 | Professional | TC · Technical part | $234.42 | $524.81 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $61.66 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $309.03 | $501.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $72.44 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $354.81 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $36.31 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $177.83 | $478.63 |
Where Washington sits
The same service costs 4.6 times more in Alaska 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· 18th of 51
$295
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.