How much rates vary
Facilitymedian $182 · 10th to 90th $65 to $339Professionalmedian $107 · 10th to 90th $34 to $224
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $85.11 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $40.74 Median $162.18 Typical High $338.84 | Facility | None | $40.74 | $162.18 | $338.84 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $741.31 | Professional | None (both parts) | $117.49 | $158.49 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $77.62 | $100.00 | $239.88 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $28.18 Median $63.10 Typical High $138.04 | Professional | None (both parts) | $28.18 | $63.10 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $30.90 | $100.00 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $158.49 | Facility | None | $50.12 | $93.33 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $114.82 | Facility | None | $112.20 | $114.82 | $114.82 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $338.84 | Facility | None | $125.89 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $117.49 | $117.49 | $186.21 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $87.10 | $117.49 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $89.13 | $100.00 | $190.55 |
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 $32.36 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $77.62 | $77.62 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $331.13 | Professional | 26 · Professional part | $42.66 | $42.66 | $331.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $467.74 | Professional | TC · Technical part | $74.13 | $97.72 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $39.81 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $58.88 | $154.88 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $42.66 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $74.13 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $47.86 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $50.12 | $72.44 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $35.48 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $66.07 | $125.89 |
Where Washington sits
The same service costs 3.0 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· 17th of 51
$107
AK $204TX $69.18
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.