How much rates vary
Facilitymedian $447 · 10th to 90th $36 to $871Professionalmedian $54 · 10th to 90th $25 to $98
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $13.18 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $35.48 | $40.74 | $40.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $36.31 Median $489.78 Typical High $1,071.52 | Facility | None | $36.31 | $489.78 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $120.23 Typical High $416.87 | Professional | None (both parts) | $53.70 | $120.23 | $416.87 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $33.11 Typical High $102.33 | Professional | 26 · Professional part | $16.60 | $33.11 | $102.33 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $87.10 Typical High $309.03 | Professional | TC · Technical part | $37.15 | $87.10 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $37.15 | $48.98 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $14.79 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $33.88 | $56.23 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $13.80 Median $38.02 Typical High $85.11 | Professional | None (both parts) | $13.80 | $38.02 | $85.11 |
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 $17.78 Median $42.66 Typical High $87.10 | Facility | None | $17.78 | $42.66 | $87.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $57.54 | Professional | None (both parts) | $24.55 | $24.55 | $57.54 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $60.26 | Facility | None | $52.48 | $52.48 | $60.26 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,023.29 | Facility | None | $346.74 | $467.74 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $53.70 | $53.70 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $16.60 | $23.99 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $37.15 | $64.57 |
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 $46.77 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $46.77 | $56.23 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $13.80 | $17.78 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $32.36 | $38.90 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $50.12 | $67.61 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $16.98 | $25.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $50.12 | $83.18 |
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 $26.92 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.72 | $11.22 | $11.22 |
Where Washington sits
The same service costs 2.9 times more in Alaska 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· 19th of 51
$53.70
AK $89.13UT $30.90
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.