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 $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $169.82 | $169.82 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $691.83 Typical High $1,445.44 | Facility | None | $107.15 | $691.83 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,148.15 Typical High $1,202.26 | Professional | None (both parts) | $199.53 | $1,148.15 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $1,047.13 | Facility | None | $457.09 | $537.03 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $169.82 | $251.19 | $426.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $97.72 | $186.21 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $63.10 | $158.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $288.40 | Facility | None | $89.13 | $177.83 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,445.44 | Facility | None | $478.63 | $691.83 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $199.53 | $309.03 | $416.87 |
United Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,380.38 | Facility | None | $691.83 | $912.01 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $407.38 | Professional | None (both parts) | $128.82 | $154.88 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $199.53 | $208.93 | $309.03 |
12 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 $102.33 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $104.71 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $218.78 | Professional | TC · Technical part | $66.07 | $66.07 | $218.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $691.83 Typical High $741.31 | Professional | 26 · Professional part | $128.82 | $691.83 | $741.31 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $602.56 | Professional | TC · Technical part | $72.44 | $151.36 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $162.18 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $93.33 | $165.96 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $194.98 Typical High $263.03 | Professional | 26 · Professional part | $128.82 | $194.98 | $263.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $112.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $100.00 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $141.25 | Professional | TC · Technical part | $44.67 | $57.54 | $141.25 |
Where Washington sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 38th of 51
$166
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.