How much rates vary
Facilitymedian $355 · 10th to 90th $95 to $708Professionalmedian $112 · 10th to 90th $56 to $214
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 $120.23 Median $120.23 Typical High $870.96 | Facility | None | $120.23 | $120.23 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $109.65 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $15.85 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $97.72 | $104.71 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $72.44 | $144.54 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $18.62 | $21.88 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $354.81 Typical High $741.31 | Facility | None | $63.10 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $112.20 | $724.44 | $794.33 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $39.81 Typical High $275.42 | Professional | 26 · Professional part | $16.60 | $39.81 | $275.42 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $95.50 | $630.96 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $512.86 | Facility | None | $213.80 | $416.87 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $104.71 | $117.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $16.60 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $100.00 | $199.53 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $15.85 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $15.85 | $112.20 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $52.48 | $102.33 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $107.15 Typical High $162.18 | Facility | None | $17.78 | $107.15 | $162.18 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $151.36 | Professional | None (both parts) | $26.92 | $26.92 | $151.36 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $112.20 | $158.49 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $22.39 | $30.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $134.90 | $177.83 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $93.33 | $128.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $17.78 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $112.20 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $87.10 | $117.49 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $15.85 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $102.33 | $165.96 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $23.99 | $23.99 |
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· 21st of 51
$112
AK $209UT $63.10
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.