How much rates vary
Facilitymedian $501 · 10th to 90th $35 to $891Professionalmedian $41 · 10th to 90th $18 to $85
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 $40.74 Median $501.19 Typical High $707.95 | Facility | None | $40.74 | $501.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $43.65 | Professional | None (both parts) | $36.31 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $10.72 | Professional | 26 · Professional part | $8.91 | $10.47 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $28.18 | $30.20 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $30.90 | $32.36 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $16.98 | Professional | 26 · Professional part | $13.18 | $15.85 | $16.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $436.52 Typical High $891.25 | Facility | None | $22.39 | $436.52 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $398.11 | Professional | None (both parts) | $36.31 | $52.48 | $398.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $138.04 | Professional | 26 · Professional part | $10.96 | $15.14 | $138.04 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $25.70 | $138.04 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $32.36 | $41.69 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $10.00 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $30.20 | $45.71 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $8.71 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $8.71 | $31.62 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $12.88 | $45.71 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $38.02 Typical High $57.54 | Facility | None | $13.80 | $38.02 | $57.54 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $38.02 | Professional | None (both parts) | $15.85 | $15.85 | $38.02 |
Premera BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Facility | None | $35.48 | $35.48 | $37.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $36.31 | $36.31 | $54.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $10.96 | $10.96 | $16.22 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $25.70 | $38.90 |
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 $36.31 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $36.31 | $48.98 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $11.75 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $37.15 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $67.61 | Professional | None (both parts) | $30.90 | $41.69 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $30.20 | $50.12 |
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 $19.05 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.76 | $8.13 | $8.13 |
Where Washington sits
The same service costs 2.5 times more in Alaska than in Texas. 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
$40.74
AK $67.61TX $26.92
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.