How much rates vary
Facilitymedian $2,570 · 10th to 90th $933 to $12,589Professionalmedian $933 · 10th to 90th $204 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 $1,584.89 Median $11,220.18 Typical High $24,547.09 | Facility | None | $1,584.89 | $11,220.18 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $1,621.81 | Professional | None (both parts) | $870.96 | $1,412.54 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $9,120.11 Typical High $18,620.87 | Facility | None | $660.69 | $9,120.11 | $18,620.87 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $6,025.60 Typical High $7,585.78 | Professional | None (both parts) | $1,288.25 | $6,025.60 | $7,585.78 |
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 $977.24 Median $1,096.48 Typical High $2,630.27 | Professional | None (both parts) | $977.24 | $1,096.48 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,584.89 Typical High $2,951.21 | Professional | None (both parts) | $457.09 | $1,584.89 | $2,951.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $758.58 Typical High $1,778.28 | Professional | None (both parts) | $194.98 | $758.58 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $1,737.80 | Facility | None | $398.11 | $1,148.15 | $1,737.80 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
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 $1,288.25 Median $1,737.80 Typical High $2,398.83 | Professional | None (both parts) | $1,288.25 | $1,737.80 | $2,398.83 |
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 $1,122.02 Median $1,445.44 Typical High $2,630.27 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $2,630.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $1,230.27 | $1,288.25 | $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 $234.42 Median $316.23 Typical High $407.38 | Professional | 26 · Professional part | $234.42 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $954.99 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,096.48 Typical High $1,258.93 | Professional | TC · Technical part | $645.65 | $1,096.48 | $1,258.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $1,445.44 Typical High $1,995.26 | Professional | 26 · Professional part | $323.59 | $1,445.44 | $1,995.26 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $4,570.88 Typical High $5,623.41 | Professional | TC · Technical part | $977.24 | $4,570.88 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $316.23 Typical High $645.65 | Professional | 26 · Professional part | $281.84 | $316.23 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $776.25 Typical High $2,041.74 | Professional | TC · Technical part | $691.83 | $776.25 | $2,041.74 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $891.25 | $891.25 | $891.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $446.68 Typical High $645.65 | Professional | 26 · Professional part | $323.59 | $446.68 | $645.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,288.25 Typical High $1,778.28 | Professional | TC · Technical part | $977.24 | $1,288.25 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $407.38 Typical High $707.95 | Professional | 26 · Professional part | $288.40 | $407.38 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,071.52 Typical High $1,949.84 | Professional | TC · Technical part | $794.33 | $1,071.52 | $1,949.84 |
Where Washington sits
The same service costs 4.2 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· 45th of 51
$1,000
WI $3,631NY $871
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.