How much rates vary
Facilitymedian $117 · 10th to 90th $68 to $209Professionalmedian $72 · 10th to 90th $28 to $148
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 $100.00 Median $100.00 Typical High $165.96 | Facility | None | $100.00 | $100.00 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $93.33 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $44.67 | $50.12 | $50.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $218.78 | Facility | None | $52.48 | $104.71 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $588.84 | Professional | None (both parts) | $97.72 | $131.83 | $588.84 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $295.12 | Professional | 26 · Professional part | $50.12 | $66.07 | $295.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $302.00 | Professional | TC · Technical part | $48.98 | $64.57 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $52.48 | $52.48 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $33.11 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $19.05 | $41.69 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $22.39 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $22.39 | $52.48 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $61.66 Typical High $134.90 | Professional | None (both parts) | $21.88 | $61.66 | $134.90 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $69.18 Typical High $138.04 | Facility | None | $33.88 | $69.18 | $138.04 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | None (both parts) | $34.67 | $34.67 | $38.02 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $208.93 | Facility | None | $83.18 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $97.72 | $97.72 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $50.12 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $48.98 | $69.18 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $77.62 | $91.20 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $52.48 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $107.15 | Professional | TC · Technical part | $30.20 | $39.81 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $72.44 | $97.72 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $48.98 | $79.43 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Where Washington sits
The same service costs 3.3 times more in Alaska 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· 34th of 51
$72.44
AK $162UT $48.98
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.