How much rates vary
Facilitymedian $200 · 10th to 90th $63 to $676Professionalmedian $158 · 10th to 90th $10 to $525
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 $245.47 Median $676.08 Typical High $20,892.96 | Facility | None | $245.47 | $676.08 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $208.93 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $181.97 Typical High $223.87 | Professional | 26 · Professional part | $79.43 | $181.97 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $83.18 | $83.18 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $2,187.76 | Facility | None | $52.48 | $100.00 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $3,630.78 | Professional | None (both parts) | $138.04 | $204.17 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $1,380.38 | Professional | 26 · Professional part | $125.89 | $162.18 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $3,548.13 | Professional | TC · Technical part | $42.66 | $52.48 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $194.98 | $257.04 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $190.55 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $64.57 | $91.20 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $53.70 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $53.70 | $165.96 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $10.23 | $35.48 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $34.67 Median $117.49 Typical High $309.03 | Facility | None | $34.67 | $117.49 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $181.97 | Facility | None | $120.23 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $30.20 | $30.20 | $30.20 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $138.04 | $186.21 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $125.89 | $138.04 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $41.69 | $45.71 | $69.18 |
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 $346.74 Median $562.34 Typical High $1,071.52 | Professional | None (both parts) | $346.74 | $562.34 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $281.84 | Professional | 26 · Professional part | $144.54 | $208.93 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $316.23 Typical High $912.01 | Professional | TC · Technical part | $151.36 | $316.23 | $912.01 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $338.84 | $354.81 | $478.63 |
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 $112.20 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $44.67 | $48.98 | $48.98 |
Where Washington sits
The same service costs 4.8 times more in Nebraska 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· 49th of 51
$170
NE $724SC $151
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.