How much rates vary
Facilitymedian $158 · 10th to 90th $98 to $501Professionalmedian $148 · 10th to 90th $20 to $309
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 $158.49 Median $158.49 Typical High $165.96 | Facility | None | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $154.88 | $158.49 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $70.79 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $89.13 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $97.72 | $128.82 | $144.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $141.25 | Facility | None | $74.13 | $117.49 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $6,025.60 | Professional | None (both parts) | $151.36 | $281.84 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $630.96 Typical High $676.08 | Professional | 26 · Professional part | $70.79 | $630.96 | $676.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $5,888.44 | Professional | TC · Technical part | $81.28 | $144.54 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $194.98 | $208.93 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $91.20 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $112.20 | $177.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $100.00 | $173.78 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $19.50 | $70.79 | $138.04 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $208.93 | Facility | None | $89.13 | $112.20 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $151.36 | $213.80 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $100.00 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $114.82 | $162.18 |
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 $186.21 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $186.21 | $257.04 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $100.00 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $165.96 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
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 $72.44 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $31.62 | $31.62 |
Where Washington sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 45th of 51
$148
WI $417VA $110
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.