How much rates vary
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 $831.76 Median $12,589.25 Typical High $24,547.09 | Facility | None | $831.76 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $758.58 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $380.19 | $416.87 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $371.54 | $416.87 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Facility | None | $426.58 | $426.58 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $5,128.61 | Professional | None (both parts) | $794.33 | $794.33 | $5,128.61 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $851.14 Typical High $2,630.27 | Professional | 26 · Professional part | $416.87 | $851.14 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $4,677.35 | Professional | TC · Technical part | $371.54 | $371.54 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $537.03 | $537.03 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $478.63 | Professional | 26 · Professional part | $281.84 | $281.84 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $251.19 | $251.19 | $436.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $24.55 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $24.55 | $389.05 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $91.20 | $295.12 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $288.40 Typical High $616.60 | Facility | None | $7.24 | $288.40 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,148.15 | Professional | None (both parts) | $794.33 | $794.33 | $1,148.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $602.56 | Professional | 26 · Professional part | $416.87 | $416.87 | $602.56 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $371.54 | $371.54 | $537.03 |
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 $741.31 Median $870.96 Typical High $1,995.26 | Professional | None (both parts) | $741.31 | $870.96 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $446.68 Typical High $933.25 | Professional | 26 · Professional part | $380.19 | $446.68 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $363.08 | $426.58 | $1,071.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $316.23 | $426.58 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $616.60 | Professional | 26 · Professional part | $302.00 | $407.38 | $616.60 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 39th of 51
$631
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.