How much rates vary
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 $776.25 Median $776.25 Typical High $1,258.93 | Facility | None | $776.25 | $776.25 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $645.65 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $173.78 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $602.56 | $724.44 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $1,548.82 Typical High $3,162.28 | Facility | None | $186.21 | $1,548.82 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $2,137.96 Typical High $2,570.40 | Professional | None (both parts) | $338.84 | $2,137.96 | $2,570.40 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $1,023.29 Typical High $1,148.15 | Professional | 26 · Professional part | $169.82 | $1,023.29 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $169.82 | $1,548.82 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $309.03 | $338.84 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $151.36 | $169.82 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $169.82 | $346.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $151.36 | $288.40 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $40.74 | $186.21 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $302.00 | Facility | None | $114.82 | $194.98 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Facility | None | $331.13 | $331.13 | $338.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
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 $338.84 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $338.84 | $467.74 | $630.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $234.42 Typical High $316.23 | Professional | 26 · Professional part | $169.82 | $234.42 | $316.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $234.42 | $316.23 |
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 $446.68 Median $831.76 Typical High $2,041.74 | Professional | None (both parts) | $446.68 | $831.76 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $380.19 | Professional | 26 · Professional part | $141.25 | $194.98 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $660.69 Typical High $1,659.59 | Professional | TC · Technical part | $251.19 | $660.69 | $1,659.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $724.44 | Professional | None (both parts) | $346.74 | $467.74 | $724.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $169.82 | $257.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $295.12 | $467.74 |
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 $346.74 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $154.88 | $154.88 |
Where Washington sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 51st of 51
$324
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.