How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $550Professionalmedian $166 · 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 $173.78 Median $446.68 Typical High $549.54 | Facility | None | $173.78 | $446.68 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $33.11 | Facility | 26 · Professional part | $26.92 | $26.92 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $165.96 | Facility | TC · Technical part | $144.54 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $131.83 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $26.92 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $144.54 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $120.23 | $229.09 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $33.88 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $309.03 Typical High $630.96 | Facility | None | $87.10 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,000.00 Typical High $1,071.52 | Professional | None (both parts) | $165.96 | $1,000.00 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $69.18 Typical High $245.47 | Professional | 26 · Professional part | $28.84 | $69.18 | $245.47 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $831.76 Typical High $954.99 | Professional | TC · Technical part | $138.04 | $831.76 | $954.99 |
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 $144.54 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $144.54 | $165.96 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $29.51 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $134.90 | $275.42 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $28.84 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $28.84 | $144.54 | $281.84 |
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 $38.90 Median $173.78 Typical High $234.42 | Facility | None | $38.90 | $173.78 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
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 $165.96 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $165.96 | $229.09 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $39.81 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $186.21 | $251.19 |
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 $134.90 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $134.90 | $186.21 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $32.36 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $151.36 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $120.23 | $162.18 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $27.54 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $134.90 | $223.87 |
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 $79.43 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $79.43 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $34.67 | $34.67 |
Where Washington sits
The same service costs 4.0 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· 16th of 51
$166
MN $380UT $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.