How much rates vary
Facilitymedian $36 · 10th to 90th $14 to $54Professionalmedian $49 · 10th to 90th $26 to $89
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 $39.81 Median $39.81 Typical High $64.57 | Facility | None | $39.81 | $39.81 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $30.20 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $9.77 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $29.51 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $52.48 | Professional | None (both parts) | $43.65 | $48.98 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $12.02 | $13.80 | $14.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Facility | None | $19.05 | $19.05 | $22.91 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $83.18 Typical High $645.65 | Professional | None (both parts) | $35.48 | $83.18 | $645.65 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $9.77 | $154.88 | $229.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $58.88 Typical High $537.03 | Professional | TC · Technical part | $25.70 | $58.88 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $32.36 | $36.31 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $9.55 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.30 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $26.30 | $52.48 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $9.77 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $9.77 | $28.84 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $25.70 | $51.29 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $33.88 Typical High $53.70 | Facility | None | $11.48 | $33.88 | $53.70 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $44.67 | Professional | None (both parts) | $16.98 | $16.98 | $44.67 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $24.55 | $24.55 | $24.55 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $35.48 | $47.86 | $63.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $13.49 | $17.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $34.67 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $29.51 | $40.74 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $10.96 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $28.84 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $26.30 | $35.48 | $57.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $10.00 | $15.14 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $25.70 | $41.69 |
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 $17.78 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $17.78 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.94 | $7.94 |
Where Washington sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 12th of 51
$48.98
MN $69.18MD $25.70
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.