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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $933.25 | $1,288.25 | $1,288.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $5,248.07 | Facility | None | $741.31 | $2,570.40 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $5,888.44 Typical High $8,511.38 | Professional | None (both parts) | $1,288.25 | $5,888.44 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,348.96 Typical High $2,691.53 | Professional | None (both parts) | $1,096.48 | $1,348.96 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $186.21 Median $1,288.25 Typical High $2,344.23 | Professional | None (both parts) | $186.21 | $1,288.25 | $2,344.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $933.25 Typical High $1,995.26 | Professional | None (both parts) | $112.20 | $933.25 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,698.24 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,230.27 | $1,258.93 | $1,258.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,691.53 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,737.80 Typical High $2,344.23 | Professional | None (both parts) | $1,288.25 | $1,737.80 | $2,344.23 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $5,623.41 | Facility | None | $2,754.23 | $3,630.78 | $5,623.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $2,630.27 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $2,630.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,380.38 Typical High $2,290.87 | Professional | None (both parts) | $1,023.29 | $1,380.38 | $2,290.87 |
16 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 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $467.74 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $190.55 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $831.76 | $1,122.02 | $1,122.02 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $758.58 Typical High $1,071.52 | Professional | 26 · Professional part | $162.18 | $758.58 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $5,128.61 Typical High $7,413.10 | Professional | TC · Technical part | $1,122.02 | $5,128.61 | $7,413.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $138.04 | $173.78 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,174.90 Typical High $2,344.23 | Professional | TC · Technical part | $977.24 | $1,174.90 | $2,344.23 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $331.13 | Professional | 26 · Professional part | $162.18 | $229.09 | $331.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,513.56 Typical High $2,041.74 | Professional | TC · Technical part | $1,122.02 | $1,513.56 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $371.54 | Professional | 26 · Professional part | $128.82 | $190.55 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $2,290.87 | Professional | TC · Technical part | $891.25 | $1,288.25 | $2,290.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $173.78 | $269.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,230.27 Typical High $1,995.26 | Professional | TC · Technical part | $912.01 | $1,230.27 | $1,995.26 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 24th of 51
$1,122
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.