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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $144.54 | $223.87 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,348.96 Typical High $1,621.81 | Professional | None (both parts) | $288.40 | $1,348.96 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $446.68 | Facility | None | $144.54 | $257.04 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $63.10 | $208.93 | $263.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $47.86 Median $181.97 Typical High $501.19 | Professional | None (both parts) | $47.86 | $181.97 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $46.77 | $229.09 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $28.84 Median $204.17 Typical High $363.08 | Facility | None | $28.84 | $204.17 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $281.84 | Facility | None | $275.42 | $281.84 | $281.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $263.03 | $275.42 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $288.40 | $389.05 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $426.58 | Professional | None (both parts) | $109.65 | $123.03 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $263.03 Typical High $331.13 | Professional | 26 · Professional part | $39.81 | $263.03 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $1,202.26 Typical High $1,445.44 | Professional | TC · Technical part | $251.19 | $1,202.26 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $26.30 Typical High $83.18 | Professional | 26 · Professional part | $13.18 | $26.30 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $50.12 | $162.18 | $239.88 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $229.09 | $245.47 | $245.47 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $44.67 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $346.74 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $50.12 | Professional | 26 · Professional part | $13.49 | $15.49 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $107.15 | $346.74 |
Where Washington sits
The same service costs 6.5 times more in North Dakota 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
$240
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.