How much rates vary
Facilitymedian $692 · 10th to 90th $78 to $1,072Professionalmedian $129 · 10th to 90th $66 to $309
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $70.79 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $52.48 | $60.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.90 Median $660.69 Typical High $1,445.44 | Facility | None | $30.90 | $660.69 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $870.96 Typical High $1,202.26 | Professional | None (both parts) | $144.54 | $870.96 | $1,202.26 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $741.31 Typical High $1,202.26 | Professional | 26 · Professional part | $87.10 | $741.31 | $1,202.26 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $630.96 | Professional | TC · Technical part | $57.54 | $112.20 | $630.96 |
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 $213.80 Typical High $309.03 | Professional | None (both parts) | $158.49 | $213.80 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $125.89 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $87.10 | $125.89 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $81.28 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $81.28 | $144.54 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $20.42 | $112.20 | $128.82 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $199.53 | Facility | None | $72.44 | $123.03 | $199.53 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $67.61 | $67.61 | $83.18 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $144.54 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $144.54 | $218.78 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $134.90 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $89.13 | $120.23 |
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 $97.72 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $97.72 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $181.97 | Professional | 26 · Professional part | $57.54 | $70.79 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $79.43 Typical High $177.83 | Professional | TC · Technical part | $38.90 | $79.43 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
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 $61.66 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $24.55 | $29.51 |
Where Washington sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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
$138
NE $537NJ $115
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.