How much rates vary
Facilitymedian $2,570 · 10th to 90th $955 to $12,303Professionalmedian $977 · 10th to 90th $132 to $1,905
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 $1,380.38 Median $6,165.95 Typical High $20,417.38 | Facility | None | $1,380.38 | $6,165.95 | $20,417.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,380.38 Typical High $1,621.81 | Professional | None (both parts) | $812.83 | $1,380.38 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $645.65 Median $9,120.11 Typical High $18,620.87 | Facility | None | $645.65 | $9,120.11 | $18,620.87 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $5,888.44 Typical High $7,413.10 | Professional | None (both parts) | $1,258.93 | $5,888.44 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $4,466.84 | Facility | None | $2,137.96 | $2,754.23 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $2,570.40 | Professional | None (both parts) | $870.96 | $954.99 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,548.82 Typical High $2,884.03 | Professional | None (both parts) | $251.19 | $1,548.82 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $794.33 Typical High $1,862.09 | Professional | None (both parts) | $120.23 | $794.33 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $1,148.15 Typical High $1,621.81 | Facility | None | $213.80 | $1,148.15 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,023.29 | $1,698.24 | $2,951.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $18,197.01 | Facility | None | $7,244.36 | $9,549.93 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,659.59 Typical High $2,290.87 | Professional | None (both parts) | $1,258.93 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,589.25 | Facility | None | $2,089.30 | $3,548.13 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,348.96 Typical High $2,511.89 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $2,511.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,258.93 Typical High $1,949.84 | Professional | None (both parts) | $1,202.26 | $1,258.93 | $1,949.84 |
14 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 $134.90 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $933.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,202.26 Typical High $1,412.54 | Professional | TC · Technical part | $676.08 | $1,202.26 | $1,412.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $204.17 | $204.17 | $234.42 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $812.83 Typical High $1,096.48 | Professional | 26 · Professional part | $177.83 | $812.83 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $5,011.87 Typical High $6,309.57 | Professional | TC · Technical part | $1,071.52 | $5,011.87 | $6,309.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $173.78 Typical High $363.08 | Professional | 26 · Professional part | $154.88 | $173.78 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $776.25 Typical High $2,238.72 | Professional | TC · Technical part | $707.95 | $776.25 | $2,238.72 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $245.47 | $363.08 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,412.54 Typical High $1,949.84 | Professional | TC · Technical part | $1,071.52 | $1,412.54 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $398.11 | Professional | 26 · Professional part | $162.18 | $234.42 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,096.48 Typical High $2,137.96 | Professional | TC · Technical part | $851.14 | $1,096.48 | $2,137.96 |
Where Washington sits
The same service costs 4.3 times more in Wisconsin 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
$1,072
WI $3,467NY $813
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.