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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $9.12 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $66.07 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $41.69 Median $177.83 Typical High $354.81 | Facility | None | $41.69 | $177.83 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $478.63 | Professional | None (both parts) | $74.13 | $104.71 | $478.63 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $173.78 | Professional | 26 · Professional part | $12.02 | $12.02 | $173.78 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $407.38 | Professional | TC · Technical part | $61.66 | $87.10 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $43.65 | $43.65 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $11.48 | Professional | 26 · Professional part | $7.59 | $7.76 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $36.31 | $36.31 | $58.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.30 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $12.30 | $66.07 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $26.92 | $39.81 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $57.54 Typical High $104.71 | Facility | None | $15.49 | $57.54 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
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 $74.13 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $74.13 | $74.13 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $12.02 | $12.02 | $16.60 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $61.66 | $61.66 | $93.33 |
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 $57.54 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $57.54 | $72.44 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $15.49 | Professional | 26 · Professional part | $10.47 | $12.59 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $60.26 | $70.79 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None (both parts) | $10.96 | $10.96 | $10.96 |
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 $26.92 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $26.92 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $10.72 | $15.49 | $15.49 |
Where Washington sits
The same service costs 3.5 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
$66.07
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.