How much rates vary
Facilitymedian $832 · 10th to 90th $501 to $1,259Professionalmedian $437 · 10th to 90th $81 to $933
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 $537.03 Median $562.34 Typical High $1,258.93 | Facility | None | $537.03 | $562.34 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $323.59 | $537.03 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $831.76 | $870.96 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $870.96 Typical High $1,819.70 | Facility | None | $309.03 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $758.58 Typical High $3,548.13 | Professional | None (both parts) | $524.81 | $758.58 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $467.74 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $54.95 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $54.95 | $281.84 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $389.05 Typical High $933.25 | Professional | None (both parts) | $75.86 | $389.05 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $549.54 Typical High $758.58 | Facility | None | $91.20 | $549.54 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $977.24 | Facility | None | $512.86 | $512.86 | $977.24 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
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 $524.81 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $524.81 | $524.81 | $891.25 |
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 $512.86 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $512.86 | $1,202.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $436.52 | $501.19 | $954.99 |
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 $52.48 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $190.55 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $75.86 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $114.82 | Professional | 26 · Professional part | $95.50 | $107.15 | $114.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $467.74 | Professional | 26 · Professional part | $75.86 | $107.15 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $645.65 Typical High $3,090.30 | Professional | TC · Technical part | $446.68 | $645.65 | $3,090.30 |
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 $309.03 Median $389.05 Typical High $1,000.00 | Professional | TC · Technical part | $309.03 | $389.05 | $1,000.00 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
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 $446.68 Median $446.68 Typical High $758.58 | Professional | TC · Technical part | $446.68 | $446.68 | $758.58 |
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 $263.03 Median $446.68 Typical High $1,023.29 | Professional | TC · Technical part | $263.03 | $446.68 | $1,023.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $61.66 | $117.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $371.54 | $436.52 | $831.76 |
Where Washington sits
The same service costs 3.0 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· 21st of 51
$447
AK $794NM $269
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.