How much rates vary
Facilitymedian $417 · 10th to 90th $15 to $661Professionalmedian $20 · 10th to 90th $9 to $35
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 $23.99 Median $23.99 Typical High $38.90 | Facility | None | $23.99 | $23.99 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.44 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $15.14 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $5.25 Typical High $5.25 | Professional | TC · Technical part | $4.79 | $5.25 | $5.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.18 Median $436.52 Typical High $891.25 | Facility | None | $13.18 | $436.52 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $281.84 | Professional | None (both parts) | $18.20 | $18.20 | $281.84 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $117.49 | Professional | 26 · Professional part | $14.45 | $14.45 | $117.49 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $3.80 Typical High $218.78 | Professional | TC · Technical part | $3.80 | $3.80 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.14 Typical High $22.91 | Professional | None (both parts) | $12.30 | $15.14 | $22.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $12.88 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $2.19 Typical High $4.07 | Professional | TC · Technical part | $1.12 | $2.19 | $4.07 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $4.90 Median $19.05 Typical High $45.71 | Professional | None (both parts) | $4.90 | $19.05 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.45 Median $8.91 Typical High $11.75 | Professional | None (both parts) | $2.45 | $8.91 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $7.08 Median $28.18 Typical High $38.90 | Facility | None | $7.08 | $28.18 | $38.90 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | TC · Technical part | $5.01 | $5.01 | $5.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $33.88 | Professional | None (both parts) | $18.20 | $18.20 | $33.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $14.45 | $26.92 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $3.80 Typical High $7.08 | Professional | TC · Technical part | $3.80 | $3.80 | $7.08 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $24.55 Typical High $41.69 | Professional | None (both parts) | $20.89 | $24.55 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $16.98 | $19.95 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.37 Typical High $9.33 | Professional | TC · Technical part | $3.63 | $4.37 | $9.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $18.20 | $25.70 | $25.70 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.79 | $4.79 |
Where Washington sits
The same service costs 2.5 times more in California than in Texas. 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· 29th of 51
$19.95
CA $40.74TX $16.22
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.