How much rates vary
Facilitymedian $447 · 10th to 90th $25 to $776Professionalmedian $52 · 10th to 90th $28 to $93
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 $43.65 Median $43.65 Typical High $72.44 | Facility | None | $43.65 | $43.65 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $35.48 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $14.13 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $30.20 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $57.54 | $57.54 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $416.87 Typical High $870.96 | Facility | None | $16.98 | $416.87 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $41.69 | $194.98 | $288.40 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $14.45 | $69.18 | $91.20 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $27.54 | $128.82 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $39.81 | $52.48 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $18.20 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $34.67 | $67.61 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $19.05 Median $38.90 Typical High $79.43 | Professional | None (both parts) | $19.05 | $38.90 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.92 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $60.26 | Facility | None | $20.42 | $39.81 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $870.96 | Facility | None | $346.74 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $85.11 | Professional | None (both parts) | $41.69 | $58.88 | $85.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $14.45 | $19.95 | $28.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $38.90 | $56.23 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $38.02 | $54.95 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $34.67 | Professional | 26 · Professional part | $14.45 | $20.89 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $33.88 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $34.67 | $47.86 | $75.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $15.14 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $32.36 | $52.48 |
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 $16.98 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $16.98 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.92 | $8.91 | $8.91 |
Where Washington sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 10th of 51
$53.70
AK $83.18FL $30.90
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.