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 $204.17 Median $204.17 Typical High $338.84 | Facility | None | $204.17 | $204.17 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $144.54 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $44.67 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $158.49 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $35.48 | $72.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $977.24 | Facility | None | $125.89 | $478.63 | $977.24 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $245.47 | $1,148.15 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $331.13 Typical High $346.74 | Professional | 26 · Professional part | $57.54 | $331.13 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $186.21 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $346.74 | Facility | None | $141.25 | $213.80 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $89.13 | $123.03 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $91.20 | Professional | 26 · Professional part | $23.44 | $31.62 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $83.18 | $177.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $83.18 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $83.18 | $251.19 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $36.31 | $190.55 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $346.74 | Facility | None | $83.18 | $204.17 | $346.74 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $489.78 Typical High $954.99 | Facility | None | $186.21 | $489.78 | $954.99 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $245.47 | $346.74 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $81.28 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $263.03 | $346.74 |
United Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Facility | None | $501.19 | $660.69 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $93.33 | $109.65 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $23.99 | $27.54 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $83.18 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $204.17 | $239.88 | $251.19 |
2 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 52 · Reduced service Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $40.74 | $40.74 |
Where Washington sits
The same service costs 4.9 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· 18th of 51
$200
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.