How much rates vary
Facilitymedian $479 · 10th to 90th $135 to $933Professionalmedian $158 · 10th to 90th $38 to $309
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 $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $162.18 | $218.78 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $138.04 | $199.53 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $457.09 Typical High $891.25 | Facility | None | $107.15 | $457.09 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $2,187.76 | Professional | None (both parts) | $165.96 | $165.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $186.21 | $223.87 | $436.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $53.70 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $53.70 | $154.88 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $33.88 | $141.25 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $288.40 | Facility | None | $75.86 | $177.83 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $489.78 | Facility | None | $186.21 | $213.80 | $489.78 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $870.96 | Facility | None | $354.81 | $467.74 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $141.25 | $165.96 | $275.42 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $181.97 | $281.84 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $147.91 | $165.96 | $316.23 |
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 $43.65 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $48.98 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $120.23 | $169.82 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $67.61 | $74.13 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | 52 · Reduced service | $33.88 | $33.88 | $79.43 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $323.59 | Professional | 26 · Professional part | $41.69 | $41.69 | $323.59 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $2,089.30 | Professional | TC · Technical part | $123.03 | $123.03 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $64.57 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $158.49 | $309.03 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $41.69 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $123.03 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $72.44 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $208.93 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $41.69 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $125.89 | $239.88 |
Where Washington sits
The same service costs 3.3 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
$158
AK $347TX $105
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.