How much rates vary
Facilitymedian $813 · 10th to 90th $363 to $1,479Professionalmedian $513 · 10th to 90th $81 to $1,096
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 $354.81 Median $645.65 Typical High $1,548.82 | Facility | None | $354.81 | $645.65 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $645.65 Typical High $660.69 | Professional | None (both parts) | $354.81 | $645.65 | $660.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,000.00 | Professional | None (both parts) | $812.83 | $954.99 | $1,000.00 |
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 $616.60 Median $870.96 Typical High $4,168.69 | Professional | None (both parts) | $616.60 | $870.96 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $1,348.96 | Professional | None (both parts) | $426.58 | $537.03 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $54.95 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $54.95 | $331.13 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $457.09 Typical High $1,096.48 | Professional | None (both parts) | $75.86 | $457.09 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $489.78 Typical High $812.83 | Facility | None | $81.28 | $489.78 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $977.24 | Facility | None | $602.56 | $602.56 | $977.24 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
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 $616.60 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $616.60 | $616.60 | $1,023.29 |
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 $380.19 Median $616.60 Typical High $1,412.54 | Professional | None (both parts) | $380.19 | $616.60 | $1,412.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $1,122.02 | Professional | None (both parts) | $501.19 | $588.84 | $1,122.02 |
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 $74.13 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $218.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $120.23 | Professional | 26 · Professional part | $93.33 | $114.82 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $478.63 | Professional | 26 · Professional part | $77.62 | $107.15 | $478.63 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $758.58 Typical High $3,715.35 | Professional | TC · Technical part | $537.03 | $758.58 | $3,715.35 |
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 $363.08 Median $467.74 Typical High $1,174.90 | Professional | TC · Technical part | $363.08 | $467.74 | $1,174.90 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $77.62 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $891.25 | Professional | TC · Technical part | $537.03 | $537.03 | $891.25 |
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 $316.23 Median $537.03 Typical High $1,230.27 | Professional | TC · Technical part | $316.23 | $537.03 | $1,230.27 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $63.10 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $1,000.00 | Professional | TC · Technical part | $446.68 | $524.81 | $1,000.00 |
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· 20th of 51
$525
AK $933NM $309
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.