How much rates vary
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 $93.33 Median $93.33 Typical High $154.88 | Facility | None | $93.33 | $93.33 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $77.62 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $17.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $69.18 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $831.76 Typical High $1,819.70 | Facility | None | $51.29 | $831.76 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $812.83 | Professional | None (both parts) | $89.13 | $128.82 | $812.83 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $436.52 | Professional | 26 · Professional part | $25.12 | $25.12 | $436.52 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $588.84 | Professional | TC · Technical part | $64.57 | $64.57 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $83.18 | $91.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $23.99 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $66.07 | $154.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $18.20 Median $64.57 Typical High $151.36 | Professional | None (both parts) | $18.20 | $64.57 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $67.61 Typical High $151.36 | Professional | None (both parts) | $26.30 | $67.61 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $75.86 Typical High $131.83 | Facility | None | $21.38 | $75.86 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $537.03 | Facility | None | $87.10 | $87.10 | $537.03 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
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 $89.13 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $89.13 | $89.13 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $25.12 | $41.69 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $64.57 | $117.49 |
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 $81.28 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $81.28 | $138.04 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $28.18 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $107.15 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $70.79 | $81.28 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $19.95 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $60.26 | $114.82 |
2 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 52 · Reduced service Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $18.62 | $18.62 |
Where Washington sits
The same service costs 3.2 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· 34th of 51
$77.62
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.