How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,047 to $28,840Professionalmedian $1,096 · 10th to 90th $178 to $1,905
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 $1,148.15 Median $9,772.37 Typical High $37,153.52 | Facility | None | $1,148.15 | $9,772.37 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,148.15 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $831.76 Typical High $1,202.26 | Professional | 26 · Professional part | $616.60 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $309.03 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $1,096.48 | $1,096.48 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $11,748.98 Typical High $28,840.32 | Facility | None | $602.56 | $11,748.98 | $28,840.32 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,905.46 Typical High $12,882.50 | Professional | None (both parts) | $1,122.02 | $1,905.46 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $3,981.07 Typical High $5,248.07 | Professional | 26 · Professional part | $851.14 | $3,981.07 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $501.19 Typical High $11,748.98 | Professional | TC · Technical part | $281.84 | $501.19 | $11,748.98 |
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 $1,000.00 Median $1,122.02 Typical High $2,290.87 | Professional | None (both parts) | $1,000.00 | $1,122.02 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $831.76 Typical High $1,698.24 | Professional | 26 · Professional part | $758.58 | $831.76 | $1,698.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $257.04 | $281.84 | $616.60 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $407.38 | $1,202.26 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $173.78 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $173.78 | $630.96 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $1,148.15 Typical High $1,548.82 | Facility | None | $389.05 | $1,148.15 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $812.83 | $812.83 | $812.83 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
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 $1,122.02 Median $1,584.89 Typical High $2,238.72 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,238.72 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $851.14 Median $1,174.90 Typical High $1,698.24 | Professional | 26 · Professional part | $851.14 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $389.05 | $562.34 |
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 $1,174.90 Median $1,659.59 Typical High $3,019.95 | Professional | None (both parts) | $1,174.90 | $1,659.59 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $1,047.13 Typical High $1,862.09 | Professional | 26 · Professional part | $776.25 | $1,047.13 | $1,862.09 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $549.54 Typical High $1,202.26 | Professional | TC · Technical part | $407.38 | $549.54 | $1,202.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,412.54 | $1,905.46 |
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 $537.03 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $213.80 | $229.09 | $229.09 |
Where Washington sits
The same service costs 5.2 times more in Louisiana than in New York. 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
$1,148
LA $4,677NY $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.