How much rates vary
Facilitymedian $447 · 10th to 90th $83 to $871Professionalmedian $110 · 10th to 90th $58 to $282
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $79.43 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $57.54 | $61.66 | $61.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $457.09 Typical High $1,023.29 | Facility | None | $85.11 | $457.09 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $87.10 | $588.84 | $977.24 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $234.42 Typical High $323.59 | Professional | 26 · Professional part | $23.99 | $234.42 | $323.59 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $63.10 | $478.63 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $64.57 | $85.11 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $23.44 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $61.66 | $112.20 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $20.42 Median $63.10 Typical High $158.49 | Professional | None (both parts) | $20.42 | $63.10 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $41.69 | $138.04 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $32.36 Median $72.44 Typical High $128.82 | Facility | None | $32.36 | $72.44 | $128.82 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $97.72 | Professional | None (both parts) | $28.18 | $39.81 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $109.65 | Facility | None | $85.11 | $85.11 | $109.65 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $891.25 | Facility | None | $346.74 | $467.74 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $87.10 | $87.10 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $63.10 | $123.03 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $69.18 | $91.20 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $66.07 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $117.49 | $158.49 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $31.62 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $128.82 | $208.93 |
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 $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.98 | $16.98 |
Where Washington sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 14th of 51
$110
ND $186KY $53.70
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.