How much rates vary
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $39.81 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $44.67 Median $1,412.54 Typical High $2,951.21 | Facility | None | $44.67 | $1,412.54 | $2,951.21 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $1,548.82 | Professional | None (both parts) | $134.90 | $134.90 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $323.59 | Professional | 26 · Professional part | $52.48 | $72.44 | $323.59 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $1,513.56 | Professional | TC · Technical part | $83.18 | $83.18 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $102.33 | $128.82 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $50.12 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $79.43 | $173.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $37.15 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $37.15 | $81.28 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $10.23 | $35.48 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $190.55 | Facility | None | $44.67 | $114.82 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $1,737.80 | Facility | None | $131.83 | $131.83 | $1,737.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,548.82 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $134.90 | $134.90 | $218.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $52.48 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $83.18 | $134.90 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $125.89 | $338.84 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $58.88 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $288.40 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $245.47 | $331.13 | $467.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $42.66 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
2 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 52 · Reduced service Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $26.92 | $26.92 |
Where Washington sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$120
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.