How much rates vary
Facilitymedian $2,630 · 10th to 90th $912 to $14,791Professionalmedian $1,096 · 10th to 90th $240 to $2,239
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 $1,621.81 Median $14,791.08 Typical High $25,703.96 | Facility | None | $1,621.81 | $14,791.08 | $25,703.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,621.81 Typical High $2,290.87 | Professional | None (both parts) | $1,096.48 | $1,621.81 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $8,709.64 Typical High $18,197.01 | Facility | None | $537.03 | $8,709.64 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $6,918.31 Typical High $8,709.64 | Professional | None (both parts) | $1,479.11 | $6,918.31 | $8,709.64 |
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 $1,202.26 Median $1,318.26 Typical High $3,090.30 | Professional | None (both parts) | $1,202.26 | $1,318.26 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,905.46 Typical High $3,162.28 | Professional | None (both parts) | $575.44 | $1,905.46 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $223.87 Median $870.96 Typical High $2,041.74 | Professional | None (both parts) | $223.87 | $870.96 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $1,348.96 Typical High $2,041.74 | Facility | None | $501.19 | $1,348.96 | $2,041.74 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
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 $1,479.11 Median $1,995.26 Typical High $2,818.38 | Professional | None (both parts) | $1,479.11 | $1,995.26 | $2,818.38 |
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 $1,288.25 Median $1,778.28 Typical High $3,090.30 | Professional | None (both parts) | $1,288.25 | $1,778.28 | $3,090.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,479.11 Typical High $2,238.72 | Professional | None (both parts) | $1,412.54 | $1,479.11 | $2,238.72 |
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 $288.40 Median $389.05 Typical High $588.84 | Professional | 26 · Professional part | $288.40 | $389.05 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,122.02 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,258.93 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $1,258.93 | $1,584.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $537.03 Typical High $549.54 | Professional | 26 · Professional part | $416.87 | $537.03 | $549.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $1,778.28 Typical High $2,511.89 | Professional | 26 · Professional part | $398.11 | $1,778.28 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $5,128.61 Typical High $6,309.57 | Professional | TC · Technical part | $1,096.48 | $5,128.61 | $6,309.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $389.05 Typical High $812.83 | Professional | 26 · Professional part | $354.81 | $389.05 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $933.25 Typical High $2,290.87 | Professional | TC · Technical part | $851.14 | $933.25 | $2,290.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $562.34 Typical High $812.83 | Professional | 26 · Professional part | $398.11 | $562.34 | $812.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,445.44 Typical High $1,995.26 | Professional | TC · Technical part | $1,096.48 | $1,445.44 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $512.86 Typical High $891.25 | Professional | 26 · Professional part | $363.08 | $512.86 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,258.93 Typical High $2,187.76 | Professional | TC · Technical part | $933.25 | $1,258.93 | $2,187.76 |
Where Washington sits
The same service costs 3.9 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· 49th of 51
$1,175
WI $4,169NY $1,072
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.