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 $102.33 Median $102.33 Typical High $117.49 | Facility | None | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $54.95 | $102.33 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $48.98 | $97.72 | $194.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $120.23 | $562.34 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $169.82 | Facility | None | $66.07 | $100.00 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $46.77 | $97.72 | $120.23 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $42.66 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $42.66 | $97.72 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $25.70 | $100.00 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $125.89 Typical High $181.97 | Facility | None | $44.67 | $125.89 | $181.97 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $104.71 | Professional | None (both parts) | $26.92 | $26.92 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $123.03 | $123.03 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $120.23 | $177.83 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $199.53 | Professional | None (both parts) | $52.48 | $56.23 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
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 $17.38 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $17.38 | $28.84 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $72.44 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $37.15 | $173.78 | $218.78 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $83.18 | $389.05 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $28.84 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $70.79 | $85.11 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $87.10 | $87.10 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $52.48 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $123.03 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $60.26 | Professional | 26 · Professional part | $15.85 | $17.78 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $141.25 | Professional | TC · Technical part | $35.48 | $38.90 | $141.25 |
Where Washington sits
The same service costs 5.9 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· 20th of 51
$102
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.