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 $181.97 Median $389.05 Typical High $1,348.96 | Facility | None | $181.97 | $389.05 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $165.96 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $30.20 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $151.36 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $93.33 Median $323.59 Typical High $630.96 | Facility | None | $93.33 | $323.59 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $173.78 | $1,071.52 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $77.62 Typical High $316.23 | Professional | 26 · Professional part | $33.11 | $77.62 | $316.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $870.96 Typical High $954.99 | Professional | TC · Technical part | $141.25 | $870.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $457.09 | Facility | None | $234.42 | $363.08 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $154.88 | $173.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $141.25 | $288.40 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $28.18 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $28.18 | $181.97 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $77.62 | $151.36 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $165.96 Typical High $239.88 | Facility | None | $38.02 | $165.96 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $602.56 | Facility | None | $251.19 | $338.84 | $602.56 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $173.78 | $239.88 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $44.67 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $194.98 | $257.04 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $138.04 | $199.53 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $162.18 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $128.82 | $173.78 | $281.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $31.62 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $141.25 | $234.42 |
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 $85.11 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $36.31 | $36.31 |
Where Washington sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 20th of 51
$170
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.