How much rates vary
Facilitymedian $1,660 · 10th to 90th $195 to $3,020Professionalmedian $209 · 10th to 90th $45 to $417
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 $239.88 Median $239.88 Typical High $398.11 | Facility | None | $239.88 | $239.88 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $147.91 | $245.47 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $257.04 | $302.00 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $1,548.82 Typical High $3,162.28 | Facility | None | $114.82 | $1,548.82 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $218.78 | $1,023.29 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $190.55 | $208.93 | $426.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $47.86 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $47.86 | $151.36 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $42.66 | $199.53 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $302.00 | Facility | None | $60.26 | $218.78 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,148.15 | $1,621.81 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $218.78 | $295.12 | $398.11 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $162.18 | $223.87 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $162.18 | $218.78 | $346.74 |
16 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 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $194.98 | $208.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $281.84 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $281.84 | $288.40 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $169.82 | $794.33 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $47.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $162.18 | $338.84 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $66.07 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $229.09 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $53.70 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $169.82 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $169.82 | $275.42 |
Where Washington sits
The same service costs 3.0 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· 20th of 51
$209
AK $380UT $129
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.