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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $812.83 Typical High $1,071.52 | Professional | None (both parts) | $660.69 | $812.83 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $3,981.07 Typical High $8,128.31 | Facility | None | $416.87 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,819.70 Typical High $4,897.79 | Professional | None (both parts) | $851.14 | $1,819.70 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,737.80 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,023.29 Typical High $1,778.28 | Professional | None (both parts) | $691.83 | $1,023.29 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $91.20 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $91.20 | $1,148.15 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $851.14 Typical High $1,412.54 | Professional | None (both parts) | $58.88 | $851.14 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $741.31 Typical High $1,122.02 | Facility | None | $72.44 | $741.31 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $831.76 Typical High $831.76 | Facility | None | $794.33 | $831.76 | $831.76 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,128.31 | Facility | None | $2,454.71 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,318.26 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $1,318.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,235.94 | Facility | None | $1,584.89 | $2,089.30 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $1,698.24 | Professional | None (both parts) | $501.19 | $602.56 | $1,698.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $794.33 Median $831.76 Typical High $1,288.25 | Professional | None (both parts) | $794.33 | $831.76 | $1,288.25 |
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 $51.29 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $52.48 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | 53 · Discontinued | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $758.58 Typical High $912.01 | Professional | TC · Technical part | $602.56 | $758.58 | $912.01 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $457.09 | Professional | 26 · Professional part | $64.57 | $117.49 | $457.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,737.80 Typical High $4,466.84 | Professional | TC · Technical part | $794.33 | $1,737.80 | $4,466.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $89.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $954.99 Typical High $1,659.59 | Professional | TC · Technical part | $630.96 | $954.99 | $1,659.59 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $741.31 | $741.31 | $741.31 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $100.00 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,230.27 Typical High $1,513.56 | Professional | TC · Technical part | $794.33 | $1,230.27 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $138.04 | Professional | 26 · Professional part | $42.66 | $50.12 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $549.54 Typical High $1,548.82 | Professional | TC · Technical part | $457.09 | $549.54 | $1,548.82 |
Where Washington sits
The same service costs 4.4 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· 18th of 51
$851
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.