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 $251.19 | Facility | None | $154.88 | $154.88 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $91.20 | $154.88 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $309.03 | Facility | None | $112.20 | $151.36 | $309.03 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $199.53 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $323.59 | Facility | None | $134.90 | $204.17 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $67.61 | $165.96 | $218.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $56.23 Median $154.88 Typical High $380.19 | Professional | None (both parts) | $56.23 | $154.88 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $154.88 Typical High $338.84 | Professional | None (both parts) | $33.88 | $154.88 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $186.21 Typical High $331.13 | Facility | None | $60.26 | $186.21 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $229.09 | Facility | None | $194.98 | $194.98 | $229.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $213.80 | $229.09 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $302.00 | Facility | None | $109.65 | $154.88 | $302.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $194.98 | $295.12 | $407.38 |
United Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $309.03 | Facility | None | $154.88 | $204.17 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $323.59 | Professional | None (both parts) | $70.79 | $97.72 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
10 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 |
|---|---|---|---|---|---|
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $57.54 | $269.15 | $288.40 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $147.91 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $18.62 | $38.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $112.20 | $173.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $48.98 | $50.12 | $50.12 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $165.96 | $177.83 | $177.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $72.44 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $131.83 | $229.09 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $81.28 | Professional | 26 · Professional part | $22.39 | $23.99 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $223.87 | Professional | TC · Technical part | $47.86 | $74.13 | $223.87 |
Where Washington sits
The same service costs 5.8 times more in Alaska than in Alabama. 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
$158
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.