How much rates vary
Facilitymedian $417 · 10th to 90th $74 to $661Professionalmedian $81 · 10th to 90th $30 to $214
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 $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 $81.28 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $81.28 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $74.13 | $87.10 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $67.61 Median $436.52 Typical High $891.25 | Facility | None | $67.61 | $436.52 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $776.25 | Professional | None (both parts) | $123.03 | $165.96 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $83.18 | $107.15 | $251.19 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $34.67 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $34.67 | $64.57 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $72.44 Typical High $208.93 | Professional | None (both parts) | $28.84 | $72.44 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $40.74 Median $83.18 Typical High $158.49 | Facility | None | $40.74 | $83.18 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $123.03 | $123.03 | $199.53 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $89.13 | $120.23 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $93.33 | $104.71 | $199.53 |
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 $41.69 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $38.90 | $63.10 | $63.10 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $363.08 | Professional | 26 · Professional part | $60.26 | $83.18 | $363.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $407.38 | Professional | TC · Technical part | $61.66 | $85.11 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $57.54 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $48.98 | $131.83 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $60.26 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $61.66 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $67.61 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $57.54 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $48.98 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $56.23 | $107.15 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 43rd of 51
$81.28
AK $219AL $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.