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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $154.88 | $154.88 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $724.44 Typical High $1,445.44 | Facility | None | $97.72 | $724.44 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $371.54 Typical High $1,174.90 | Professional | None (both parts) | $181.97 | $371.54 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,047.13 | Facility | None | $537.03 | $537.03 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $158.49 | $234.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $100.00 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $100.00 | $169.82 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $58.88 | $141.25 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $302.00 | Facility | None | $104.71 | $162.18 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,445.44 | Facility | None | $478.63 | $707.95 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $181.97 | $275.42 | $371.54 |
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 $117.49 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $117.49 | $147.91 | $371.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $181.97 | $190.55 | $281.84 |
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 $89.13 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $30.90 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $67.61 | $67.61 | $77.62 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $218.78 Typical High $954.99 | Professional | 26 · Professional part | $109.65 | $218.78 | $954.99 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $954.99 | Professional | TC · Technical part | $74.13 | $147.91 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $138.04 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $97.72 | $162.18 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $165.96 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $112.20 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $72.44 | $89.13 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $58.88 | $147.91 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 42nd 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.