How much rates vary
Facilitymedian $646 · 10th to 90th $129 to $21,380Professionalmedian $407 · 10th to 90th $93 to $813
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 $645.65 Median $12,589.25 Typical High $24,547.09 | Facility | None | $645.65 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $323.59 | Facility | None | $128.82 | $234.42 | $323.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $4,466.84 | Professional | None (both parts) | $602.56 | $602.56 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $478.63 Typical High $2,089.30 | Professional | 26 · Professional part | $239.88 | $478.63 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $4,168.69 | Professional | TC · Technical part | $363.08 | $363.08 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $407.38 | $407.38 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $162.18 | $162.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $245.47 | $245.47 | $426.58 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $24.55 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $24.55 | $275.42 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $52.48 | $162.18 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $173.78 Typical High $446.68 | Facility | None | $7.24 | $173.78 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $602.56 | $602.56 | $891.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $239.88 | $239.88 | $346.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $363.08 | $363.08 | $512.86 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $10,232.93 | Facility | None | $501.19 | $1,122.02 | $10,232.93 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $676.08 Typical High $1,584.89 | Professional | None (both parts) | $575.44 | $676.08 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $537.03 | Professional | 26 · Professional part | $218.78 | $257.04 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $1,047.13 | Professional | TC · Technical part | $354.81 | $416.87 | $1,047.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $186.21 | $251.19 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $229.09 Typical High $346.74 | Professional | 26 · Professional part | $169.82 | $229.09 | $346.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.05 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $19.05 | $26.92 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Where Washington sits
The same service costs 3.0 times more in Wisconsin than in North 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· 47th of 51
$407
WI $1,000NC $331
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.