How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $34.67 | $58.88 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $39.81 Typical High $47.86 | Facility | None | $37.15 | $39.81 | $47.86 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $74.13 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $44.67 Typical High $61.66 | Facility | None | $31.62 | $44.67 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $26.92 | $57.54 | $72.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $25.70 Median $64.57 Typical High $131.83 | Professional | None (both parts) | $25.70 | $64.57 | $131.83 |
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 $25.70 Median $60.26 Typical High $109.65 | Facility | None | $25.70 | $60.26 | $109.65 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $57.54 | $57.54 | $72.44 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $37.15 | Facility | None | $29.51 | $33.11 | $37.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $74.13 | $107.15 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $120.23 | Professional | None (both parts) | $30.90 | $33.11 | $120.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
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 $40.74 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $40.74 | $263.03 | $263.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $33.11 | $263.03 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $15.85 | $31.62 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $19.50 Typical High $33.11 | Professional | TC · Technical part | $10.72 | $19.50 | $33.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $57.54 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $47.86 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $64.57 | Professional | 26 · Professional part | $17.38 | $19.50 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.14 Typical High $51.29 | Professional | TC · Technical part | $11.48 | $15.14 | $51.29 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 15th of 51
$63.10
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.