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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $91.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $44.67 | $60.26 | $60.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $354.81 | Facility | None | $66.07 | $169.82 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $758.58 | Professional | None (both parts) | $117.49 | $117.49 | $758.58 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $371.54 | Professional | 26 · Professional part | $61.66 | $61.66 | $371.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $380.19 | Professional | TC · Technical part | $56.23 | $56.23 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $67.61 | $79.43 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $41.69 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $36.31 | $52.48 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $39.81 | $77.62 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $28.18 | $72.44 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $144.54 | Facility | None | $61.66 | $83.18 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | None | $114.82 | $114.82 | $120.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $117.49 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $117.49 | $117.49 | $173.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $61.66 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $56.23 | $85.11 |
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 $95.50 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $95.50 | $117.49 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $63.10 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $53.70 | $67.61 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
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 $45.71 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $23.99 | $23.99 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 11th of 51
$105
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.