How much rates vary
Facilitymedian $316 · 10th to 90th $170 to $631Professionalmedian $170 · 10th to 90th $81 to $316
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 $177.83 Median $190.55 Typical High $1,288.25 | Facility | None | $177.83 | $190.55 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $123.03 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $30.20 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $151.36 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $199.53 | $234.42 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $37.15 | $37.15 | $42.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $309.03 Typical High $630.96 | Facility | None | $91.20 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $173.78 | $1,047.13 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $74.13 Typical High $208.93 | Professional | 26 · Professional part | $32.36 | $74.13 | $208.93 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $851.14 Typical High $954.99 | Professional | TC · Technical part | $141.25 | $851.14 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $457.09 | Facility | None | $234.42 | $354.81 | $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 $26.30 Median $28.84 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $28.84 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $141.25 | $295.12 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $23.99 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $23.99 | $177.83 | $302.00 |
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 $44.67 Median $194.98 Typical High $239.88 | Facility | None | $44.67 | $194.98 | $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 $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
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 $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 $173.78 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $173.78 | $234.42 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $43.65 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $190.55 | $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 $141.25 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $141.25 | $194.98 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $21.88 | $34.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $165.96 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $125.89 | $169.82 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $30.90 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $138.04 | $229.09 |
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 $83.18 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $83.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $36.31 | $36.31 |
Where Washington sits
The same service costs 3.2 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· 17th of 51
$170
AK $302UT $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.