How much rates vary
Facilitymedian $316 · 10th to 90th $112 to $7,244Professionalmedian $302 · 10th to 90th $49 to $562
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 $316.23 Median $11,220.18 Typical High $37,153.52 | Facility | None | $316.23 | $11,220.18 | $37,153.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $245.47 | $316.23 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $229.09 Typical High $295.12 | Professional | 26 · Professional part | $169.82 | $229.09 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $85.11 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $218.78 | $269.15 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $199.53 | Facility | None | $100.00 | $123.03 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $12,022.64 | Professional | None (both parts) | $309.03 | $524.81 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $426.58 Typical High $6,165.95 | Professional | 26 · Professional part | $234.42 | $426.58 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $11,748.98 | Professional | TC · Technical part | $77.62 | $138.04 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $275.42 | $302.00 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $229.09 Typical High $467.74 | Professional | 26 · Professional part | $204.17 | $229.09 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $77.62 | $165.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $112.20 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $112.20 | $323.59 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $47.86 | $181.97 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $107.15 Median $302.00 Typical High $426.58 | Facility | None | $107.15 | $302.00 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $309.03 | $436.52 | $616.60 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $467.74 | Professional | 26 · Professional part | $234.42 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $107.15 | $154.88 |
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 $281.84 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $281.84 | $478.63 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $295.12 Typical High $512.86 | Professional | 26 · Professional part | $208.93 | $295.12 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $120.23 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,698.24 Typical High $2,290.87 | Professional | None (both parts) | $1,621.81 | $1,698.24 | $2,290.87 |
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 $144.54 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $58.88 | $63.10 | $63.10 |
Where Washington sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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
$302
WI $1,047MD $229
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.