How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $501Professionalmedian $257 · 10th to 90th $31 to $550
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 $295.12 Median $295.12 Typical High $489.78 | Facility | None | $295.12 | $295.12 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $275.42 | $295.12 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $95.50 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $181.97 | $199.53 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $173.78 | $213.80 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $199.53 Typical High $239.88 | Facility | None | $30.20 | $199.53 | $239.88 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $6,025.60 | Professional | None (both parts) | $275.42 | $512.86 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $812.83 Typical High $954.99 | Professional | 26 · Professional part | $97.72 | $812.83 | $954.99 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $5,754.40 | Professional | TC · Technical part | $181.97 | $331.13 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $331.13 | $363.08 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $123.03 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $239.88 | $398.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $144.54 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $144.54 | $371.54 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $29.51 | $109.65 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $234.42 | Facility | None | $112.20 | $162.18 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $275.42 | $398.11 | $562.34 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $138.04 | $199.53 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $257.04 | $371.54 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $616.60 | Facility | None | $125.89 | $302.00 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $331.13 | $457.09 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $131.83 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $309.03 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $389.05 | $407.38 | $616.60 |
2 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 52 · Reduced service Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $134.90 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $53.70 | $58.88 | $58.88 |
Where Washington sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 46th of 51
$240
WI $776OR $182
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.