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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $89.13 | $134.90 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $1,000.00 Typical High $2,089.30 | Facility | None | $85.11 | $1,000.00 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $912.01 Typical High $977.24 | Professional | None (both parts) | $208.93 | $912.01 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $257.04 | Facility | None | $112.20 | $154.88 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $74.13 | $131.83 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $83.18 | $165.96 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $26.30 | $100.00 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $154.88 Typical High $288.40 | Facility | None | $69.18 | $154.88 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $154.88 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $1,047.13 Typical High $1,995.26 | Facility | None | $109.65 | $1,047.13 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $162.18 | $234.42 | $302.00 |
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 $70.79 Median $77.62 Typical High $263.03 | Professional | None (both parts) | $70.79 | $77.62 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
11 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $338.84 Typical High $363.08 | Professional | 26 · Professional part | $74.13 | $338.84 | $363.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $562.34 Typical High $645.65 | Professional | TC · Technical part | $134.90 | $562.34 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $43.65 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $87.10 | $151.36 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $56.23 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $100.00 | $104.71 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $83.18 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $151.36 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $93.33 | Professional | 26 · Professional part | $25.12 | $28.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $169.82 | Professional | TC · Technical part | $45.71 | $50.12 | $169.82 |
Where Washington sits
The same service costs 4.5 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· 39th of 51
$110
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.