How much rates vary
Facilitymedian $37 · 10th to 90th $6 to $186Professionalmedian $50 · 10th to 90th $27 to $98
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 $37.15 Median $37.15 Typical High $1,047.13 | Facility | None | $37.15 | $37.15 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $33.88 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $4.17 Typical High $6.17 | Professional | 26 · Professional part | $3.63 | $4.17 | $6.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $33.11 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | None (both parts) | $40.74 | $46.77 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.17 Typical High $6.92 | Professional | 26 · Professional part | $5.50 | $6.17 | $6.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Facility | None | $17.78 | $17.78 | $21.38 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $33.11 | $602.56 | $724.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $181.97 Typical High $288.40 | Professional | 26 · Professional part | $4.17 | $181.97 | $288.40 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $28.84 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.88 Typical High $70.79 | Professional | None (both parts) | $30.90 | $33.88 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $4.17 Typical High $7.94 | Professional | 26 · Professional part | $3.72 | $4.17 | $7.94 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $64.57 | Professional | TC · Technical part | $26.92 | $29.51 | $64.57 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $4.47 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $4.47 | $30.20 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $26.30 | $51.29 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $36.31 Typical High $181.97 | Facility | None | $5.13 | $36.31 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 26 · Professional part | $4.07 | $4.07 | $4.07 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $33.11 | $44.67 | $60.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $5.75 Typical High $7.76 | Professional | 26 · Professional part | $4.17 | $5.75 | $7.76 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $38.90 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $26.30 | $38.90 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.90 Typical High $9.33 | Professional | 26 · Professional part | $3.55 | $4.90 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $22.91 | $33.11 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $54.95 | Professional | None (both parts) | $25.12 | $33.88 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.57 Typical High $6.92 | Professional | 26 · Professional part | $3.39 | $4.57 | $6.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $28.84 | $47.86 |
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 $16.98 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.98 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.76 | $7.59 | $7.59 |
Where Washington sits
The same service costs 2.9 times more in Kansas 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· 6th of 51
$50.12
KS $74.13MD $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.