How much rates vary
Facilitymedian $912 · 10th to 90th $100 to $29,512Professionalmedian $195 · 10th to 90th $30 to $363
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 $223.87 Median $7,943.28 Typical High $27,542.29 | Facility | None | $223.87 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $177.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $67.61 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $19,952.62 Typical High $41,686.94 | Facility | None | $117.49 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $12,882.50 | Professional | None (both parts) | $218.78 | $363.08 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $707.95 Typical High $954.99 | Professional | 26 · Professional part | $158.49 | $707.95 | $954.99 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $12,589.25 | Professional | TC · Technical part | $61.66 | $107.15 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $194.98 | $213.80 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $138.04 | $151.36 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $60.26 | $131.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $91.20 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $91.20 | $218.78 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $29.51 | $107.15 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $1.23 Median $112.20 Typical High $229.09 | Facility | None | $1.23 | $112.20 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $213.80 | Facility | None | $208.93 | $213.80 | $213.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $21,877.62 Typical High $41,686.94 | Facility | None | $14,454.40 | $21,877.62 | $41,686.94 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $218.78 | $302.00 | $436.52 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $213.80 | $316.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $83.18 | $123.03 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $30,199.52 | Facility | None | $588.84 | $977.24 | $30,199.52 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $199.53 | $269.15 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $346.74 | Professional | 26 · Professional part | $141.25 | $190.55 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $74.13 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $154.88 | $158.49 | $234.42 |
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 $104.71 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $44.67 | $44.67 |
Where Washington sits
The same service costs 8.3 times more in Louisiana than in Hawaii. 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· 41st of 51
$209
LA $1,288HI $155
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.