How much rates vary
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 $346.74 Median $346.74 Typical High $398.11 | Facility | None | $346.74 | $346.74 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $275.42 | $346.74 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $1,445.44 | Facility | None | $165.96 | $165.96 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,445.44 Typical High $1,905.46 | Professional | None (both parts) | $309.03 | $1,445.44 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $302.00 | $338.84 | $660.69 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $165.96 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $165.96 | $316.23 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $56.23 | $213.80 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $457.09 | Facility | None | $141.25 | $263.03 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $302.00 | Facility | None | $295.12 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $309.03 | $426.58 | $602.56 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $295.12 | $416.87 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $316.23 | $323.59 | $501.19 |
13 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 $95.50 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $117.49 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $181.97 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $549.54 Typical High $724.44 | Professional | 26 · Professional part | $120.23 | $549.54 | $724.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $1,023.29 Typical High $1,174.90 | Professional | TC · Technical part | $190.55 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $114.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $199.53 | $223.87 | $416.87 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $169.82 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $257.04 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $151.36 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $257.04 | $398.11 |
Where Washington sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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
$234
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.