How much rates vary
Facilitymedian $794 · 10th to 90th $102 to $1,202Professionalmedian $186 · 10th to 90th $65 to $380
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 $165.96 Median $165.96 Typical High $190.55 | Facility | None | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $134.90 | $165.96 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $870.96 Typical High $1,819.70 | Facility | None | $123.03 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $851.14 Typical High $1,412.54 | Professional | None (both parts) | $169.82 | $851.14 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $457.09 | Professional | None (both parts) | $102.33 | $162.18 | $457.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $56.23 Median $112.20 Typical High $338.84 | Professional | None (both parts) | $56.23 | $112.20 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $60.26 | $181.97 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $229.09 | Facility | None | $67.61 | $109.65 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,737.80 | Facility | None | $602.56 | $912.01 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $169.82 | $245.47 | $436.52 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $467.74 | Professional | None (both parts) | $109.65 | $162.18 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $169.82 | $229.09 | $371.54 |
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 $43.65 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $74.13 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $109.65 | $181.97 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $263.03 Typical High $346.74 | Professional | 26 · Professional part | $56.23 | $263.03 | $346.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $114.82 | $630.96 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $107.15 Typical High $338.84 | Professional | TC · Technical part | $50.12 | $107.15 | $338.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $79.43 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $165.96 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $43.65 | $61.66 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $331.13 | Professional | TC · Technical part | $63.10 | $102.33 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $57.54 | $89.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $169.82 | $281.84 |
Where Washington sits
The same service costs 3.2 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· 14th of 51
$186
AK $347NY $107
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.