How much rates vary
Facilitymedian $214 · 10th to 90th $100 to $5,129Professionalmedian $145 · 10th to 90th $20 to $331
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 $213.80 Median $9,772.37 Typical High $24,547.09 | Facility | None | $213.80 | $9,772.37 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $162.18 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $154.88 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $66.07 | Professional | TC · Technical part | $42.66 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $5,128.61 | Facility | None | $79.43 | $100.00 | $5,128.61 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $316.23 Typical High $13,489.63 | Professional | None (both parts) | $169.82 | $316.23 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $204.17 Typical High $6,165.95 | Professional | 26 · Professional part | $128.82 | $204.17 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $12,022.64 Typical High $12,882.50 | Professional | TC · Technical part | $42.66 | $12,022.64 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $186.21 | $199.53 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $141.25 | $151.36 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $47.86 | $51.29 | $83.18 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $58.88 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $58.88 | $177.83 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $19.50 | $74.13 | $138.04 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $173.78 Typical High $229.09 | Facility | None | $52.48 | $173.78 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $165.96 | Facility | None | $144.54 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $169.82 | $208.93 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $128.82 | $158.49 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $42.66 | $52.48 | $75.86 |
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 $194.98 Median $281.84 Typical High $12,882.50 | Professional | None (both parts) | $194.98 | $281.84 | $12,882.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $194.98 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $12,589.25 | Professional | TC · Technical part | $47.86 | $70.79 | $12,589.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $2,137.96 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $2,137.96 |
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 $100.00 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $42.66 | $42.66 |
Where Washington sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 50th of 51
$145
TN $2,344SC $126
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.