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 $954.99 Median $12,589.25 Typical High $24,547.09 | Facility | None | $954.99 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $794.33 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $524.81 Typical High $575.44 | Professional | 26 · Professional part | $426.58 | $524.81 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $371.54 | $436.52 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $489.78 Median $11,748.98 Typical High $28,840.32 | Facility | None | $489.78 | $11,748.98 | $28,840.32 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,548.82 Typical High $12,882.50 | Professional | None (both parts) | $933.25 | $1,548.82 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $3,235.94 Typical High $4,466.84 | Professional | 26 · Professional part | $524.81 | $3,235.94 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $707.95 Typical High $12,022.64 | Professional | TC · Technical part | $398.11 | $707.95 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $6,606.93 Typical High $10,715.19 | Facility | None | $5,248.07 | $6,606.93 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $831.76 | $912.01 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $512.86 Typical High $1,047.13 | Professional | 26 · Professional part | $467.74 | $512.86 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $363.08 | $398.11 | $851.14 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $30.90 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $30.90 | $741.31 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $107.15 | $398.11 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $457.09 Typical High $758.58 | Facility | None | $8.13 | $457.09 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $912.01 | Facility | None | $891.25 | $912.01 | $912.01 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
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 $933.25 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $933.25 | $1,288.25 | $1,862.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $724.44 Typical High $1,047.13 | Professional | 26 · Professional part | $524.81 | $724.44 | $1,047.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $794.33 | Professional | TC · Technical part | $398.11 | $549.54 | $794.33 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $30,199.52 | Facility | None | $2,691.53 | $4,677.35 | $30,199.52 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,202.26 Typical High $2,290.87 | Professional | None (both parts) | $891.25 | $1,202.26 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $645.65 Typical High $1,148.15 | Professional | 26 · Professional part | $478.63 | $645.65 | $1,148.15 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $512.86 Typical High $1,174.90 | Professional | TC · Technical part | $389.05 | $512.86 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $524.81 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $524.81 | $549.54 | $794.33 |
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 $446.68 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $446.68 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $177.83 | $190.55 | $190.55 |
Where Washington sits
The same service costs 7.1 times more in Texas 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· 43rd of 51
$891
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.