How much rates vary
Facilitymedian $832 · 10th to 90th $427 to $1,202Professionalmedian $398 · 10th to 90th $79 to $851
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 $489.78 Median $489.78 Typical High $1,148.15 | Facility | None | $489.78 | $489.78 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $501.19 | Professional | None (both parts) | $331.13 | $489.78 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $870.96 Typical High $1,819.70 | Facility | None | $288.40 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $676.08 Typical High $3,311.31 | Professional | None (both parts) | $478.63 | $676.08 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $323.59 | $416.87 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $54.95 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $54.95 | $263.03 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $346.74 Typical High $851.14 | Professional | None (both parts) | $74.13 | $346.74 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $478.63 Typical High $691.83 | Facility | None | $91.20 | $478.63 | $691.83 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $537.03 | Professional | None (both parts) | $107.15 | $107.15 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $891.25 | Facility | None | $467.74 | $467.74 | $891.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,737.80 | Facility | None | $602.56 | $912.01 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $478.63 | $478.63 | $794.33 |
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 $338.84 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $338.84 | $478.63 | $1,071.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $398.11 | $467.74 | $870.96 |
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 $52.48 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $75.86 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $416.87 | $416.87 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $776.25 | Professional | 26 · Professional part | $75.86 | $107.15 | $776.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $2,818.38 | Professional | TC · Technical part | $398.11 | $562.34 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $74.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $338.84 | $870.96 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $75.86 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $398.11 | $398.11 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $87.10 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $407.38 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $407.38 | $912.01 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $64.57 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $398.11 | $758.58 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 23rd of 51
$398
AK $776NM $240
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.