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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $154.88 | $257.04 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $165.96 Typical High $309.03 | Facility | None | $123.03 | $165.96 | $309.03 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $1,584.89 Typical High $1,905.46 | Professional | None (both parts) | $354.81 | $1,584.89 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $186.21 Typical High $295.12 | Facility | None | $141.25 | $186.21 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $112.20 | $251.19 | $426.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $151.36 | $288.40 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $58.88 | $208.93 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $467.74 | Facility | None | $194.98 | $251.19 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $323.59 | Facility | None | $316.23 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $302.00 | Facility | None | $109.65 | $158.49 | $302.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $331.13 | $457.09 | $575.44 |
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 $138.04 Median $144.54 Typical High $524.81 | Professional | None (both parts) | $138.04 | $144.54 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
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 $194.98 Median $891.25 Typical High $912.01 | Professional | 26 · Professional part | $194.98 | $891.25 | $912.01 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $812.83 Typical High $977.24 | Professional | TC · Technical part | $158.49 | $812.83 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $63.10 | $123.03 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $47.86 | $120.23 | $223.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $158.49 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $173.78 | $229.09 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $229.09 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $263.03 | Professional | 26 · Professional part | $70.79 | $79.43 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $69.18 | $234.42 |
Where Washington sits
The same service costs 6.5 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· 31st of 51
$219
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.