How much rates vary
Facilitymedian $380 · 10th to 90th $148 to $676Professionalmedian $162 · 10th to 90th $56 to $347
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $141.25 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $354.81 Typical High $741.31 | Facility | None | $120.23 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $1,380.38 | Professional | None (both parts) | $223.87 | $302.00 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $173.78 | $213.80 | $457.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $66.07 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $66.07 | $128.82 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $53.70 | $154.88 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $302.00 | Facility | None | $93.33 | $154.88 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $223.87 | Facility | None | $218.78 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $223.87 | $223.87 | $371.54 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $165.96 | $239.88 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $165.96 | $190.55 | $354.81 |
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 $75.86 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $128.82 | $128.82 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $676.08 | Professional | 26 · Professional part | $109.65 | $151.36 | $676.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $707.95 | Professional | TC · Technical part | $114.82 | $151.36 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $104.71 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $114.82 | $245.47 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $109.65 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $114.82 | $114.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $125.89 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $125.89 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $89.13 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $100.00 | $186.21 |
Where Washington sits
The same service costs 3.9 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· 36th of 51
$162
AK $398TX $102
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.