How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $97.72 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $134.90 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $128.82 | Facility | None | $64.57 | $77.62 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,258.93 Typical High $1,479.11 | Professional | None (both parts) | $239.88 | $1,258.93 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $120.23 | $549.54 | $707.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $251.19 Typical High $1,096.48 | Professional | TC · Technical part | $120.23 | $251.19 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $218.78 | $245.47 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $120.23 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $123.03 | $251.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $100.00 | $190.55 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $30.90 | $120.23 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $338.84 | Facility | None | $131.83 | $169.82 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $239.88 | $323.59 | $436.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | 26 · Professional part | $120.23 | $162.18 | $218.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $162.18 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $281.84 | $371.54 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $97.72 | $131.83 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $239.88 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $117.49 | $177.83 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
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 $117.49 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $51.29 | $51.29 |
Where Washington sits
The same service costs 3.1 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· 41st of 51
$219
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.