How much rates vary
Facilitymedian $813 · 10th to 90th $129 to $1,288Professionalmedian $204 · 10th to 90th $45 to $447
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $162.18 | $199.53 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $831.76 Typical High $1,819.70 | Facility | None | $128.82 | $831.76 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $1,479.11 | Professional | None (both parts) | $204.17 | $338.84 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $512.86 | Professional | None (both parts) | $134.90 | $173.78 | $512.86 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $25.70 Median $117.49 Typical High $316.23 | Professional | None (both parts) | $25.70 | $117.49 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $43.65 | $199.53 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $151.36 Typical High $346.74 | Facility | None | $51.29 | $151.36 | $346.74 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Facility | None | $204.17 | $204.17 | $251.19 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
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 $204.17 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $204.17 | $204.17 | $407.38 |
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 $147.91 Median $199.53 Typical High $549.54 | Professional | None (both parts) | $147.91 | $199.53 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $177.83 | $204.17 | $389.05 |
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 $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $616.60 | Professional | 26 · Professional part | $36.31 | $36.31 | $616.60 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $1,258.93 | Professional | TC · Technical part | $169.82 | $281.84 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $34.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $457.09 | Professional | TC · Technical part | $114.82 | $144.54 | $457.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $36.31 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $169.82 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $117.49 | $162.18 | $467.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $29.51 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $173.78 | $331.13 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$204
AK $324KY $115
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.