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 $58.88 Median $58.88 Typical High $69.18 | Facility | None | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $42.66 | $58.88 | $97.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $40.74 Median $478.63 Typical High $977.24 | Facility | None | $40.74 | $478.63 | $977.24 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $74.13 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $54.95 | Facility | None | $30.90 | $43.65 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $28.18 | $58.88 | $83.18 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $31.62 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $31.62 | $69.18 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $17.78 | $63.10 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $109.65 | Facility | None | $35.48 | $66.07 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $75.86 | Facility | None | $72.44 | $72.44 | $75.86 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $67.61 Median $489.78 Typical High $954.99 | Facility | None | $67.61 | $489.78 | $954.99 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $74.13 | $109.65 | $134.90 |
United Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Facility | None | $501.19 | $660.69 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $123.03 | Professional | None (both parts) | $33.11 | $33.88 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
11 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.84 Typical High $93.33 | Professional | 26 · Professional part | $16.98 | $28.84 | $93.33 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $46.77 | $346.74 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $26.30 | $346.74 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $18.62 | $36.31 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $10.47 | $23.44 | $28.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 26 · Professional part | $45.71 | $45.71 | $46.77 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $29.51 | $29.51 | $29.51 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $66.07 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $26.30 | $39.81 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $75.86 | Professional | 26 · Professional part | $19.95 | $22.39 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $12.88 Typical High $43.65 | Professional | TC · Technical part | $11.75 | $12.88 | $43.65 |
Where Washington sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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· 19th of 51
$64.57
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.