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 $229.09 Median $239.88 Typical High $1,348.96 | Facility | None | $229.09 | $239.88 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $218.78 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $30.20 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $199.53 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $138.04 | $281.84 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $457.09 Typical High $1,023.29 | Facility | None | $123.03 | $457.09 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,445.44 Typical High $1,479.11 | Professional | None (both parts) | $218.78 | $1,445.44 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $77.62 Typical High $309.03 | Professional | 26 · Professional part | $33.11 | $77.62 | $309.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $1,230.27 Typical High $1,318.26 | Professional | TC · Technical part | $186.21 | $1,230.27 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $512.86 Typical High $645.65 | Facility | None | $281.84 | $512.86 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $204.17 | $223.87 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $31.62 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $190.55 | $380.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $32.36 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $32.36 | $213.80 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $104.71 | $204.17 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $40.74 Median $234.42 Typical High $316.23 | Facility | None | $40.74 | $234.42 | $316.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $158.49 | Professional | None (both parts) | $28.18 | $28.18 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $218.78 | Facility | None | $213.80 | $213.80 | $218.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $891.25 | Facility | None | $346.74 | $467.74 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $218.78 | $309.03 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $44.67 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $263.03 | $346.74 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $181.97 | $251.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $213.80 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $173.78 | $234.42 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $32.36 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $199.53 | $331.13 |
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 $107.15 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $43.65 | $45.71 | $45.71 |
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· 18th of 51
$224
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.