How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,023 to $12,589Professionalmedian $1,259 · 10th to 90th $302 to $2,630
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 $1,949.84 Median $12,302.69 Typical High $28,183.83 | Facility | None | $1,949.84 | $12,302.69 | $28,183.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,949.84 Typical High $2,454.71 | Professional | None (both parts) | $1,288.25 | $1,949.84 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $912.01 Median $9,120.11 Typical High $18,620.87 | Facility | None | $912.01 | $9,120.11 | $18,620.87 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $8,317.64 Typical High $10,471.29 | Professional | None (both parts) | $1,778.28 | $8,317.64 | $10,471.29 |
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 $1,445.44 Median $1,584.89 Typical High $3,630.78 | Professional | None (both parts) | $1,445.44 | $1,584.89 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $724.44 Median $2,041.74 Typical High $3,388.44 | Professional | None (both parts) | $724.44 | $2,041.74 | $3,388.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,071.52 Typical High $2,398.83 | Professional | None (both parts) | $288.40 | $1,071.52 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $2,454.71 | Facility | None | $660.69 | $1,621.81 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,023.29 | $1,737.80 | $2,951.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,778.28 Median $2,398.83 Typical High $3,311.31 | Professional | None (both parts) | $1,778.28 | $2,398.83 | $3,311.31 |
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 $1,548.82 Median $2,137.96 Typical High $3,715.35 | Professional | None (both parts) | $1,548.82 | $2,137.96 | $3,715.35 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,778.28 Typical High $2,691.53 | Professional | None (both parts) | $1,698.24 | $1,778.28 | $2,691.53 |
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 $363.08 Median $489.78 Typical High $707.95 | Professional | 26 · Professional part | $363.08 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,348.96 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,479.11 Typical High $1,659.59 | Professional | TC · Technical part | $912.01 | $1,479.11 | $1,659.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $724.44 Typical High $741.31 | Professional | 26 · Professional part | $338.84 | $724.44 | $741.31 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $2,290.87 Typical High $3,162.28 | Professional | 26 · Professional part | $501.19 | $2,290.87 | $3,162.28 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $5,888.44 Typical High $7,413.10 | Professional | TC · Technical part | $1,258.93 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $501.19 Typical High $1,023.29 | Professional | 26 · Professional part | $446.68 | $501.19 | $1,023.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,096.48 Typical High $2,691.53 | Professional | TC · Technical part | $977.24 | $1,096.48 | $2,691.53 |
Premera BCBS 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 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $707.95 Typical High $1,023.29 | Professional | 26 · Professional part | $501.19 | $707.95 | $1,023.29 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,698.24 Typical High $2,344.23 | Professional | TC · Technical part | $1,258.93 | $1,698.24 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $645.65 Typical High $1,122.02 | Professional | 26 · Professional part | $457.09 | $645.65 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,445.44 Typical High $2,570.40 | Professional | TC · Technical part | $1,071.52 | $1,445.44 | $2,570.40 |
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
$1,349
WI $4,898NY $1,259
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.