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 $478.63 Median $478.63 Typical High $794.33 | Facility | None | $478.63 | $478.63 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $309.03 | $478.63 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $2,398.83 Typical High $4,897.79 | Facility | None | $354.81 | $2,398.83 | $4,897.79 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $3,311.31 Typical High $4,168.69 | Professional | None (both parts) | $616.60 | $3,311.31 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,047.13 | Facility | None | $407.38 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $177.83 | $501.19 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $117.49 Median $645.65 Typical High $1,258.93 | Professional | None (both parts) | $117.49 | $645.65 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $70.79 | $426.58 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $977.24 | Facility | None | $107.15 | $436.52 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $660.69 | Facility | None | $602.56 | $602.56 | $660.69 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $2,511.89 Typical High $4,786.30 | Facility | None | $512.86 | $2,511.89 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $616.60 | $891.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,786.30 | Facility | None | $2,398.83 | $3,162.28 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $912.01 | Professional | None (both parts) | $234.42 | $288.40 | $912.01 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
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 $102.33 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $102.33 | $676.08 | $676.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $2,951.21 Typical High $3,548.13 | Professional | TC · Technical part | $512.86 | $2,951.21 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $39.81 | $79.43 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $426.58 Typical High $954.99 | Professional | TC · Technical part | $138.04 | $426.58 | $954.99 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $100.00 | $100.00 | $102.33 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $102.33 | $144.54 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $758.58 Typical High $1,000.00 | Professional | TC · Technical part | $512.86 | $758.58 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $165.96 | Professional | 26 · Professional part | $44.67 | $47.86 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $245.47 | $707.95 |
Where Washington sits
The same service costs 11.5 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· 32nd of 51
$468
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.