How much rates vary
Facilitymedian $832 · 10th to 90th $209 to $1,479Professionalmedian $200 · 10th to 90th $42 to $389
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $173.78 | $218.78 | $218.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $870.96 Typical High $1,819.70 | Facility | None | $114.82 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $1,318.26 | Professional | None (both parts) | $251.19 | $338.84 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $131.83 | $169.82 | $512.86 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $25.70 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $25.70 | $112.20 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $40.74 | $190.55 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $32.36 Median $158.49 Typical High $281.84 | Facility | None | $32.36 | $158.49 | $281.84 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $162.18 | Professional | None (both parts) | $40.74 | $40.74 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $891.25 | Facility | None | $239.88 | $251.19 | $891.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $251.19 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $251.19 | $251.19 | $389.05 |
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 $151.36 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $151.36 | $208.93 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $158.49 | $181.97 | $346.74 |
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 $28.18 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $144.54 | $186.21 | $186.21 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $616.60 | Professional | 26 · Professional part | $38.90 | $38.90 | $616.60 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $1,096.48 | Professional | TC · Technical part | $213.80 | $281.84 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $138.04 | $436.52 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $38.90 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $213.80 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $42.66 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $123.03 | $173.78 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $30.20 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $151.36 | $288.40 |
Where Washington sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 17th of 51
$200
AK $347NM $120
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.