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 $316.23 Median $316.23 Typical High $363.08 | Facility | None | $316.23 | $316.23 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $177.83 | $316.23 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $208.93 Median $1,000.00 Typical High $2,089.30 | Facility | None | $208.93 | $1,000.00 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,819.70 Typical High $2,398.83 | Professional | None (both parts) | $416.87 | $1,819.70 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $524.81 | Facility | None | $223.87 | $331.13 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $134.90 | $309.03 | $436.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $125.89 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $125.89 | $338.84 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $75.86 | $257.04 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $128.82 Median $389.05 Typical High $575.44 | Facility | None | $128.82 | $389.05 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $389.05 | Facility | None | $380.19 | $380.19 | $389.05 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $1,047.13 Typical High $1,995.26 | Facility | None | $275.42 | $1,047.13 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $389.05 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $389.05 | $562.34 | $707.95 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,137.96 | Facility | None | $1,047.13 | $1,380.38 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $630.96 | Professional | None (both parts) | $165.96 | $173.78 | $630.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
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 $63.10 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $85.11 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $229.09 | $380.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $512.86 Typical High $630.96 | Professional | 26 · Professional part | $134.90 | $512.86 | $630.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,318.26 Typical High $1,778.28 | Professional | TC · Technical part | $295.12 | $1,318.26 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $42.66 | $83.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $218.78 | $309.03 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $109.65 | $154.88 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $407.38 Typical High $512.86 | Professional | TC · Technical part | $275.42 | $407.38 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $173.78 | Professional | 26 · Professional part | $46.77 | $52.48 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $125.89 | $436.52 |
Where Washington sits
The same service costs 4.2 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· 24th of 51
$282
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.