How much rates vary
Facilitymedian $2,570 · 10th to 90th $977 to $12,589Professionalmedian $1,175 · 10th to 90th $263 to $2,399
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 $1,778.28 Median $11,220.18 Typical High $23,442.29 | Facility | None | $1,778.28 | $11,220.18 | $23,442.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,778.28 Typical High $1,995.26 | Professional | None (both parts) | $1,174.90 | $1,778.28 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $812.83 Median $9,120.11 Typical High $18,620.87 | Facility | None | $812.83 | $9,120.11 | $18,620.87 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $7,413.10 Typical High $9,549.93 | Professional | None (both parts) | $1,621.81 | $7,413.10 | $9,549.93 |
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 $1,258.93 Median $1,380.38 Typical High $3,311.31 | Professional | None (both parts) | $1,258.93 | $1,380.38 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,905.46 Typical High $3,311.31 | Professional | None (both parts) | $602.56 | $1,905.46 | $3,311.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $977.24 Typical High $2,238.72 | Professional | None (both parts) | $251.19 | $977.24 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $1,513.56 Typical High $2,187.76 | Facility | None | $549.54 | $1,513.56 | $2,187.76 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,621.81 Median $2,187.76 Typical High $3,019.95 | Professional | None (both parts) | $1,621.81 | $2,187.76 | $3,019.95 |
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 $1,412.54 Median $1,862.09 Typical High $3,311.31 | Professional | None (both parts) | $1,412.54 | $1,862.09 | $3,311.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,584.89 Typical High $2,454.71 | Professional | None (both parts) | $1,513.56 | $1,584.89 | $2,454.71 |
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 $331.13 Median $407.38 Typical High $537.03 | Professional | 26 · Professional part | $331.13 | $407.38 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,202.26 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,380.38 Typical High $1,548.82 | Professional | TC · Technical part | $831.76 | $1,380.38 | $1,548.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $501.19 | $501.19 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $1,905.46 Typical High $2,630.27 | Professional | 26 · Professional part | $416.87 | $1,905.46 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $5,623.41 Typical High $6,918.31 | Professional | TC · Technical part | $1,202.26 | $5,623.41 | $6,918.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $416.87 Typical High $851.14 | Professional | 26 · Professional part | $371.54 | $416.87 | $851.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $977.24 Typical High $2,511.89 | Professional | TC · Technical part | $891.25 | $977.24 | $2,511.89 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $588.84 Typical High $851.14 | Professional | 26 · Professional part | $416.87 | $588.84 | $851.14 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,584.89 Typical High $2,187.76 | Professional | TC · Technical part | $1,202.26 | $1,584.89 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $549.54 Typical High $933.25 | Professional | 26 · Professional part | $380.19 | $549.54 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,318.26 Typical High $2,398.83 | Professional | TC · Technical part | $1,000.00 | $1,318.26 | $2,398.83 |
Where Washington sits
The same service costs 4.0 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· 47th of 51
$1,259
WI $4,467NY $1,122
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.