How much rates vary
Facilitymedian $120 · 10th to 90th $71 to $209Professionalmedian $79 · 10th to 90th $28 to $200
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 $112.20 Median $112.20 Typical High $186.21 | Facility | None | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $81.28 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $33.88 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $93.33 | $151.36 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $60.26 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $104.71 Typical High $218.78 | Facility | None | $58.88 | $104.71 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $676.08 | Professional | None (both parts) | $112.20 | $158.49 | $676.08 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $72.44 | $302.00 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $363.08 | Professional | TC · Technical part | $61.66 | $85.11 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $51.29 | $51.29 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $51.29 | Professional | TC · Technical part | $17.78 | $17.78 | $51.29 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $22.91 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $22.91 | $52.48 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $58.88 Typical High $186.21 | Professional | None (both parts) | $24.55 | $58.88 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $154.88 | Facility | None | $58.88 | $75.86 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Facility | None | $107.15 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $112.20 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $112.20 | $112.20 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $51.29 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $61.66 | $85.11 |
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 $79.43 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $79.43 | $100.00 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $54.95 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $123.03 | Professional | TC · Technical part | $30.90 | $45.71 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $81.28 | $109.65 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $50.12 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $58.88 | $97.72 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in New York. 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· 29th of 51
$79.43
AK $182NY $53.70
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.