How much rates vary
Facilitymedian $316 · 10th to 90th $174 to $603Professionalmedian $178 · 10th to 90th $85 to $339
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 $190.55 Typical High $870.96 | Facility | None | $181.97 | $190.55 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $128.82 | $181.97 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $28.84 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $107.15 | $151.36 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $117.49 | $257.04 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $39.81 | $44.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $309.03 Typical High $630.96 | Facility | None | $97.72 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,122.02 Typical High $1,258.93 | Professional | None (both parts) | $199.53 | $1,122.02 | $1,258.93 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $74.13 Typical High $245.47 | Professional | 26 · Professional part | $31.62 | $74.13 | $245.47 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $933.25 Typical High $1,148.15 | Professional | TC · Technical part | $165.96 | $933.25 | $1,148.15 |
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 $181.97 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $181.97 | $199.53 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $31.62 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $169.82 | $346.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $30.20 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $30.20 | $181.97 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $79.43 | $151.36 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $208.93 Typical High $288.40 | Facility | None | $38.02 | $208.93 | $288.40 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $165.96 | Professional | None (both parts) | $30.90 | $30.90 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $275.42 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $43.65 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $165.96 | $229.09 | $309.03 |
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 $165.96 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $165.96 | $229.09 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $33.88 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $190.55 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $134.90 | $181.97 | $295.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $30.20 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $151.36 | $251.19 |
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 3.7 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
$182
AK $355UT $95.50
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.