How much rates vary
Facilitymedian $89 · 10th to 90th $15 to $166Professionalmedian $22 · 10th to 90th $15 to $63
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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | TC · Technical part | $11.75 | $11.75 | $11.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.88 Median $83.18 Typical High $165.96 | Facility | None | $12.88 | $83.18 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $147.91 | Professional | None (both parts) | $21.88 | $30.90 | $147.91 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $69.18 | Professional | 26 · Professional part | $10.96 | $15.14 | $69.18 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $15.14 Typical High $75.86 | Professional | TC · Technical part | $10.72 | $15.14 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $26.30 | Professional | None (both parts) | $14.79 | $14.79 | $26.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $7.41 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $7.24 Typical High $12.88 | Professional | TC · Technical part | $7.24 | $7.24 | $12.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $7.76 Median $14.79 Typical High $26.30 | Professional | None (both parts) | $7.76 | $14.79 | $26.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $32.36 | Facility | None | $9.12 | $16.22 | $32.36 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None (both parts) | $13.49 | $13.49 | $16.22 |
Premera BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Facility | None | $21.38 | $21.38 | $21.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $10.96 | $10.96 | $10.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $165.96 | Facility | None | $67.61 | $89.13 | $165.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | None (both parts) | $21.88 | $21.88 | $32.36 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $10.96 | $10.96 | $16.22 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $10.72 Typical High $16.22 | Professional | TC · Technical part | $10.72 | $10.72 | $16.22 |
United Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $173.78 | Facility | None | $85.11 | $112.20 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $23.44 Typical High $50.12 | Professional | None (both parts) | $19.50 | $23.44 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $11.75 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.48 Typical High $25.70 | Professional | TC · Technical part | $9.55 | $11.48 | $25.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $17.38 Median $23.44 Typical High $37.15 | Professional | None (both parts) | $17.38 | $23.44 | $37.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.30 Typical High $19.95 | Professional | TC · Technical part | $9.12 | $12.30 | $19.95 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Where Washington sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 19th of 51
$21.88
MN $38.02FL $14.13
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.