How much rates vary
Facilitymedian $174 · 10th to 90th $25 to $302Professionalmedian $40 · 10th to 90th $13 to $81
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $169.82 Typical High $354.81 | Facility | None | $24.55 | $169.82 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $363.08 | Professional | None (both parts) | $38.90 | $38.90 | $363.08 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $234.42 | Professional | 26 · Professional part | $16.60 | $16.60 | $234.42 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $53.70 Typical High $281.84 | Professional | TC · Technical part | $22.39 | $53.70 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | None (both parts) | $27.54 | $27.54 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $11.22 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $16.60 | $30.90 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.59 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $12.59 | $27.54 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.32 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $8.32 | $39.81 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $63.10 | Facility | None | $24.55 | $38.02 | $63.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | None (both parts) | $16.98 | $16.98 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Facility | None | $38.90 | $38.90 | $43.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $338.84 | Facility | None | $120.23 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $38.90 | $38.90 | $63.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $16.60 | $16.60 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $22.39 | $38.90 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $95.50 | Professional | None (both parts) | $36.31 | $43.65 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $38.02 | Professional | 26 · Professional part | $15.14 | $17.78 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $25.70 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $34.67 | $46.77 | $74.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $16.98 | $25.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $29.51 | $47.86 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Where Washington sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 26th of 51
$40.74
MN $74.13AL $28.18
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.