How much rates vary
Facilitymedian $813 · 10th to 90th $102 to $1,202Professionalmedian $123 · 10th to 90th $54 to $229
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 $162.18 Median $162.18 Typical High $269.15 | Facility | None | $162.18 | $162.18 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $112.20 | $162.18 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $114.82 | $199.53 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $870.96 Typical High $1,819.70 | Facility | None | $89.13 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $1,000.00 | Professional | None (both parts) | $154.88 | $213.80 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $125.89 | $162.18 | $323.59 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $53.70 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $53.70 | $95.50 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $50.12 | $117.49 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $218.78 | Facility | None | $75.86 | $128.82 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $154.88 | Facility | None | $151.36 | $154.88 | $154.88 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $154.88 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $154.88 | $154.88 | $263.03 |
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 $141.25 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $141.25 | $181.97 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $123.03 | $138.04 | $263.03 |
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 $63.10 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $75.86 | $85.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $562.34 | Professional | 26 · Professional part | $89.13 | $123.03 | $562.34 |
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 $72.44 Median $85.11 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $85.11 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $75.86 | $147.91 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
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 $89.13 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $89.13 | $147.91 |
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 $79.43 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $104.71 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $81.28 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $74.13 | $141.25 |
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 3.8 times more in Alaska than in Utah. 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· 35th of 51
$123
AK $275UT $72.44
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.