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 $512.86 Median $512.86 Typical High $831.76 | Facility | None | $512.86 | $512.86 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $323.59 | $512.86 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $1,513.56 Typical High $3,090.30 | Facility | None | $302.00 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $3,467.37 | Professional | None (both parts) | $501.19 | $707.95 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $436.52 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $43.65 Median $309.03 Typical High $707.95 | Professional | None (both parts) | $43.65 | $309.03 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $51.29 | $501.19 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $575.44 Typical High $676.08 | Facility | None | $85.11 | $575.44 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,737.80 | Facility | None | $489.78 | $489.78 | $1,737.80 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,548.82 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $501.19 | $501.19 | $851.14 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,311.31 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $1,148.15 | Professional | None (both parts) | $398.11 | $512.86 | $1,148.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $416.87 | $489.78 | $912.01 |
17 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 $42.66 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $275.42 | $446.68 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $95.50 | $95.50 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $380.19 | Professional | 26 · Professional part | $61.66 | $85.11 | $380.19 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $630.96 Typical High $3,090.30 | Professional | TC · Technical part | $436.52 | $630.96 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $977.24 | Professional | TC · Technical part | $302.00 | $380.19 | $977.24 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $436.52 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $70.79 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $1,023.29 | Professional | TC · Technical part | $354.81 | $436.52 | $1,023.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $50.12 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $371.54 | $436.52 | $831.76 |
Where Washington sits
The same service costs 3.0 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· 16th of 51
$501
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.