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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $1,122.02 Typical High $2,290.87 | Facility | None | $87.10 | $1,122.02 | $2,290.87 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $316.23 Typical High $977.24 | Professional | None (both parts) | $147.91 | $316.23 | $977.24 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $575.44 | Professional | 26 · Professional part | $74.13 | $74.13 | $575.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $74.13 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $100.00 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $48.98 | $87.10 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $52.48 | $91.20 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $29.51 | $91.20 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $208.93 | Facility | None | $61.66 | $109.65 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Facility | None | $144.54 | $144.54 | $151.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $147.91 | $147.91 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $74.13 | $74.13 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $74.13 | $117.49 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,691.53 | Facility | None | $1,318.26 | $1,737.80 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $128.82 | $151.36 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $79.43 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $74.13 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $117.49 | $162.18 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $74.13 | $112.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $87.10 | $141.25 |
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 $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Washington sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 44th of 51
$115
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.