How much rates vary
Facilitymedian $977 · 10th to 90th $65 to $1,738Professionalmedian $54 · 10th to 90th $23 to $95
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 $64.57 Median $104.71 Typical High $1,548.82 | Facility | None | $64.57 | $104.71 | $1,548.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $18.62 | Facility | 26 · Professional part | $12.88 | $12.88 | $18.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $58.88 | Facility | TC · Technical part | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $60.26 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $47.86 | $51.29 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $42.66 | $74.13 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $20.89 | Professional | 26 · Professional part | $16.98 | $19.50 | $20.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $32.36 Median $870.96 Typical High $1,819.70 | Facility | None | $32.36 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $630.96 | Professional | None (both parts) | $53.70 | $74.13 | $630.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $229.09 | Professional | 26 · Professional part | $13.80 | $19.05 | $229.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $38.90 | $269.15 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $53.70 | $60.26 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $11.48 | $14.79 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $47.86 | $77.62 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $13.18 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $13.18 | $52.48 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $15.49 | $45.71 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $67.61 Typical High $117.49 | Facility | None | $14.79 | $67.61 | $117.49 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Facility | None | $52.48 | $52.48 | $53.70 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,737.80 | Facility | None | $602.56 | $912.01 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $53.70 | $53.70 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $13.80 | $13.80 | $19.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $60.26 | $81.28 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $13.49 | $18.20 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $63.10 | $89.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $45.71 | $61.66 | $97.72 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $14.13 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $46.77 | $77.62 |
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 $30.20 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.88 | $12.88 |
Where Washington sits
The same service costs 3.3 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· 32nd of 51
$53.70
MN $105UT $31.62
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.