How much rates vary
Facilitymedian $2,344 · 10th to 90th $617 to $3,467Professionalmedian $2,089 · 10th to 90th $398 to $4,467
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $1,905.46 | $2,691.53 | $2,691.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Facility | None | $1,479.11 | $1,479.11 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,388.44 Typical High $16,982.44 | Professional | None (both parts) | $2,511.89 | $3,388.44 | $16,982.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,454.71 Typical High $5,248.07 | Professional | None (both parts) | $1,905.46 | $2,454.71 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,445.44 Typical High $3,630.78 | Professional | None (both parts) | $316.23 | $1,445.44 | $3,630.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,819.70 Typical High $4,365.16 | Professional | None (both parts) | $371.54 | $1,819.70 | $4,365.16 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $2,137.96 Typical High $3,548.13 | Facility | None | $467.74 | $2,137.96 | $3,548.13 |
Premera BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,454.71 | $2,454.71 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $4,168.69 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,630.27 Typical High $5,370.32 | Professional | None (both parts) | $1,862.09 | $2,630.27 | $5,370.32 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $4,570.88 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $4,570.88 |
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 $346.74 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $346.74 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $933.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $380.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $2,290.87 Typical High $2,290.87 | Professional | TC · Technical part | $1,584.89 | $2,290.87 | $2,290.87 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $616.60 Typical High $2,818.38 | Professional | 26 · Professional part | $446.68 | $616.60 | $2,818.38 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,754.23 Typical High $14,125.38 | Professional | TC · Technical part | $2,041.74 | $2,754.23 | $14,125.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $426.58 Typical High $891.25 | Professional | 26 · Professional part | $346.74 | $426.58 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,995.26 Typical High $4,265.80 | Professional | TC · Technical part | $1,584.89 | $1,995.26 | $4,265.80 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $446.68 | $446.68 | $446.68 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | TC · Technical part | $1,995.26 | $1,995.26 | $1,995.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $741.31 | Professional | 26 · Professional part | $446.68 | $446.68 | $741.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $3,388.44 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $501.19 Typical High $1,000.00 | Professional | 26 · Professional part | $389.05 | $501.19 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,187.76 Typical High $4,365.16 | Professional | TC · Technical part | $1,479.11 | $2,187.76 | $4,365.16 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $371.54 Typical High $707.95 | Professional | 26 · Professional part | $346.74 | $371.54 | $707.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,995.26 Typical High $3,801.89 | Professional | TC · Technical part | $1,737.80 | $1,995.26 | $3,801.89 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$2,089
AK $4,467TX $1,413
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.