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 $1,230.27 Median $1,230.27 Typical High $1,548.82 | Facility | None | $1,230.27 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $1,380.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $758.58 Median $2,951.21 Typical High $6,025.60 | Facility | None | $758.58 | $2,951.21 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,023.29 Typical High $8,709.64 | Professional | None (both parts) | $977.24 | $1,023.29 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,202.26 Typical High $2,884.03 | Professional | None (both parts) | $1,096.48 | $1,202.26 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $123.03 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $123.03 | $870.96 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $933.25 Typical High $2,290.87 | Professional | None (both parts) | $144.54 | $933.25 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $1,023.29 Typical High $1,819.70 | Facility | None | $144.54 | $1,023.29 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,235.94 | Facility | None | $1,258.93 | $1,258.93 | $3,235.94 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,754.40 | Facility | None | $2,344.23 | $3,090.30 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,862.09 | Professional | None (both parts) | $977.24 | $977.24 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,311.31 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,019.95 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,019.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $2,290.87 |
16 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 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $162.18 | Professional | 26 · Professional part | $120.23 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $245.47 Typical High $251.19 | Professional | 53 · Discontinued | $218.78 | $245.47 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,071.52 Typical High $1,230.27 | Professional | TC · Technical part | $912.01 | $1,071.52 | $1,230.27 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $1,000.00 | Professional | 26 · Professional part | $128.82 | $128.82 | $1,000.00 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $7,762.47 | Professional | TC · Technical part | $851.14 | $891.25 | $7,762.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $158.49 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,047.13 Typical High $2,511.89 | Professional | TC · Technical part | $933.25 | $1,047.13 | $2,511.89 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $125.89 | $128.82 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,621.81 | Professional | TC · Technical part | $851.14 | $851.14 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $371.54 | Professional | 26 · Professional part | $151.36 | $194.98 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,348.96 Typical High $2,630.27 | Professional | TC · Technical part | $912.01 | $1,348.96 | $2,630.27 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $123.03 | $131.83 | $251.19 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,096.48 Typical High $2,041.74 | Professional | TC · Technical part | $933.25 | $1,096.48 | $2,041.74 |
Where Washington sits
The same service costs 2.9 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· 41st of 51
$1,023
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.