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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $70.79 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $354.81 Typical High $741.31 | Facility | None | $46.77 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $524.81 | Professional | None (both parts) | $64.57 | $67.61 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $69.18 | $81.28 | $181.97 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $19.05 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $19.05 | $53.70 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $64.57 Typical High $141.25 | Professional | None (both parts) | $26.92 | $64.57 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $125.89 | Facility | None | $33.88 | $67.61 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Facility | None | $85.11 | $85.11 | $89.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $707.95 | Facility | None | $281.84 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $64.57 | $64.57 | $123.03 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $199.53 | Professional | None (both parts) | $75.86 | $97.72 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $64.57 | $70.79 | $134.90 |
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 $48.98 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $21.38 | $26.92 | $26.92 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $354.81 | Professional | 26 · Professional part | $44.67 | $45.71 | $354.81 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.89 Typical High $169.82 | Professional | TC · Technical part | $19.95 | $20.89 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $57.54 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $23.44 | $60.26 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $44.67 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $19.95 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $69.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $28.18 | $63.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $47.86 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $23.44 | $44.67 |
Where Washington sits
The same service costs 3.9 times more in Alaska 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· 36th 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.