How much rates vary
Facilitymedian $100 · 10th to 90th $66 to $135Professionalmedian $107 · 10th to 90th $32 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $79.43 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $91.20 | $181.97 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $125.89 | Facility | None | $66.07 | $66.07 | $125.89 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $758.58 | Professional | None (both parts) | $117.49 | $158.49 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $239.88 | Professional | None (both parts) | $89.13 | $102.33 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $33.88 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $33.88 | $69.18 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $29.51 | $100.00 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $162.18 | Facility | None | $58.88 | $87.10 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $117.49 Typical High $117.49 | Facility | None | $112.20 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $125.89 | Facility | None | $100.00 | $100.00 | $125.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $117.49 | $117.49 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $95.50 | $125.89 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $91.20 | $104.71 | $194.98 |
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 $35.48 Median $47.86 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $43.65 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $72.44 | $72.44 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $309.03 | Professional | 26 · Professional part | $51.29 | $69.18 | $309.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $446.68 | Professional | TC · Technical part | $67.61 | $89.13 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $48.98 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $54.95 | $138.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $51.29 | $51.29 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $69.18 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $40.74 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $63.10 | $120.23 |
Where Washington sits
The same service costs 3.0 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· 19th of 51
$107
AK $204TX $67.61
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.