How much rates vary
Facilitymedian $832 · 10th to 90th $363 to $1,202Professionalmedian $501 · 10th to 90th $107 to $1,122
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 $588.84 Median $588.84 Typical High $977.24 | Facility | None | $588.84 | $588.84 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $389.05 | $588.84 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $363.08 Median $870.96 Typical High $1,819.70 | Facility | None | $363.08 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $851.14 Typical High $4,168.69 | Professional | None (both parts) | $588.84 | $851.14 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $1,288.25 | Professional | None (both parts) | $407.38 | $512.86 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $81.28 Median $323.59 Typical High $831.76 | Professional | None (both parts) | $81.28 | $323.59 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $467.74 Typical High $1,122.02 | Professional | None (both parts) | $102.33 | $467.74 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $707.95 Typical High $870.96 | Facility | None | $165.96 | $707.95 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Facility | None | $575.44 | $575.44 | $891.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
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 $588.84 Median $588.84 Typical High $1,000.00 | Professional | None (both parts) | $588.84 | $588.84 | $1,000.00 |
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 $416.87 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $416.87 | $588.84 | $1,380.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $575.44 | $1,096.48 |
17 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 $81.28 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $223.87 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $165.96 Typical High $186.21 | Professional | 26 · Professional part | $144.54 | $165.96 | $186.21 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $776.25 | Professional | 26 · Professional part | $117.49 | $162.18 | $776.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $691.83 Typical High $3,388.44 | Professional | TC · Technical part | $467.74 | $691.83 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $109.65 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $407.38 Typical High $1,047.13 | Professional | TC · Technical part | $316.23 | $407.38 | $1,047.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $117.49 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $812.83 | Professional | TC · Technical part | $467.74 | $467.74 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $104.71 | $134.90 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $1,122.02 | Professional | TC · Technical part | $323.59 | $478.63 | $1,122.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $97.72 | $186.21 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $478.63 Typical High $912.01 | Professional | TC · Technical part | $407.38 | $478.63 | $912.01 |
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· 22nd of 51
$501
AK $977NM $302
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.