How much rates vary
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $380.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $229.09 | $239.88 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $1,513.56 Typical High $3,090.30 | Facility | None | $245.47 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $741.31 Typical High $2,818.38 | Professional | None (both parts) | $398.11 | $741.31 | $2,818.38 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $316.23 Typical High $1,071.52 | Professional | 26 · Professional part | $158.49 | $316.23 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,737.80 | Professional | TC · Technical part | $239.88 | $478.63 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $302.00 | $467.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $380.19 | Professional | 26 · Professional part | $120.23 | $181.97 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $288.40 | $549.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $134.90 | $275.42 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $81.28 | $109.65 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $616.60 | Facility | None | $208.93 | $338.84 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,548.82 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $398.11 | $398.11 | $630.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $158.49 | $158.49 | $251.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $239.88 | $380.19 |
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 $331.13 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $331.13 | $389.05 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $131.83 | $158.49 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $234.42 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $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 $190.55 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $190.55 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $75.86 | $79.43 | $79.43 |
Where Washington sits
The same service costs 9.8 times more in Alaska than in New York. 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· 12th of 51
$398
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.