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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $29.51 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $47.86 Median $169.82 Typical High $354.81 | Facility | None | $47.86 | $169.82 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $549.54 | Professional | None (both parts) | $85.11 | $85.11 | $549.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $363.08 | Professional | 26 · Professional part | $48.98 | $48.98 | $363.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $245.47 | Professional | TC · Technical part | $35.48 | $35.48 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $51.29 | $57.54 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $33.88 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $23.44 | $33.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $28.18 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $28.18 | $57.54 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $50.12 Typical High $112.20 | Professional | None (both parts) | $19.50 | $50.12 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $125.89 | Facility | None | $53.70 | $72.44 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Facility | None | $83.18 | $83.18 | $87.10 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $338.84 | Facility | None | $134.90 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $85.11 | $85.11 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $48.98 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $35.48 | $54.95 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $69.18 | $85.11 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $52.48 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $35.48 | $43.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $16.98 | $16.98 | $16.98 |
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 $34.67 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $17.38 | $17.38 |
Where Washington sits
The same service costs 3.7 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· 14th of 51
$74.13
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.