How much rates vary
Facilitymedian $174 · 10th to 90th $29 to $302Professionalmedian $45 · 10th to 90th $12 to $68
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $16.98 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $23.44 | $25.70 | $25.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.12 Median $169.82 Typical High $354.81 | Facility | None | $25.12 | $169.82 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $363.08 | Professional | None (both parts) | $44.67 | $44.67 | $363.08 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $131.83 | Professional | 26 · Professional part | $21.38 | $21.38 | $131.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $190.55 | Professional | TC · Technical part | $23.44 | $23.44 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $26.92 | $30.90 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.79 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $23.44 | Professional | TC · Technical part | $13.80 | $16.22 | $23.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $17.78 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $17.78 | $33.11 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $10.23 | $33.11 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $64.57 | Facility | None | $19.50 | $33.11 | $64.57 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | None (both parts) | $34.67 | $34.67 | $38.90 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $45.71 | Facility | None | $43.65 | $43.65 | $45.71 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $23.99 | $23.99 | $23.99 |
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 $44.67 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $44.67 | $44.67 | $67.61 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $21.38 | $31.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $23.44 | $35.48 |
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 $39.81 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $39.81 | $46.77 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $19.50 | $22.39 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $23.99 | $39.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None (both parts) | $8.91 | $8.91 | $8.91 |
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 $21.88 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $9.33 | $9.33 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in New York. 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
$44.67
AK $87.10NY $25.70
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.