How much rates vary
Facilitymedian $759 · 10th to 90th $275 to $1,349Professionalmedian $257 · 10th to 90th $50 to $501
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 $275.42 Median $933.25 Typical High $2,238.72 | Facility | None | $275.42 | $933.25 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $204.17 | $275.42 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $154.88 | $316.23 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $691.83 Typical High $1,412.54 | Facility | None | $138.04 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,584.89 Typical High $1,621.81 | Professional | None (both parts) | $263.03 | $1,584.89 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,000.00 | Facility | None | $478.63 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $234.42 | $269.15 | $524.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $45.71 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $45.71 | $234.42 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $48.98 | $239.88 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $251.19 Typical High $363.08 | Facility | None | $52.48 | $251.19 | $363.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $213.80 | Professional | None (both parts) | $50.12 | $50.12 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Facility | None | $478.63 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $263.03 | $354.81 | $478.63 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $213.80 | $295.12 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $190.55 | $257.04 | $416.87 |
19 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 Facility Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $50.12 | Facility | 26 · Professional part | $41.69 | $41.69 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $269.15 | Facility | TC · Technical part | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $234.42 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $57.54 | $64.57 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $107.15 Typical High $891.25 | Professional | 26 · Professional part | $45.71 | $107.15 | $891.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,318.26 Typical High $1,412.54 | Professional | TC · Technical part | $213.80 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $44.67 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $218.78 | $436.52 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $61.66 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $295.12 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $48.98 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $245.47 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $43.65 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $213.80 | $354.81 |
Where Washington sits
The same service costs 3.5 times more in Minnesota 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
$257
MN $550UT $158
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.