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 $758.58 Median $758.58 Typical High $1,258.93 | Facility | None | $758.58 | $758.58 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $501.19 | $758.58 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $2,951.21 Typical High $6,025.60 | Facility | None | $446.68 | $2,951.21 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,071.52 Typical High $5,128.61 | Professional | None (both parts) | $758.58 | $1,071.52 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $1,621.81 | Professional | None (both parts) | $537.03 | $645.65 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $114.82 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $114.82 | $436.52 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $524.81 Typical High $1,258.93 | Professional | None (both parts) | $109.65 | $524.81 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,096.48 | Facility | None | $229.09 | $602.56 | $1,096.48 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $870.96 | Professional | None (both parts) | $173.78 | $173.78 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,090.30 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,258.93 | Professional | None (both parts) | $758.58 | $758.58 | $1,258.93 |
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 $616.60 Median $776.25 Typical High $1,698.24 | Professional | None (both parts) | $616.60 | $776.25 | $1,698.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $616.60 Median $707.95 Typical High $1,348.96 | Professional | None (both parts) | $616.60 | $707.95 | $1,348.96 |
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 $109.65 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $275.42 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $380.19 | $616.60 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $245.47 | $245.47 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $218.78 Typical High $977.24 | Professional | 26 · Professional part | $158.49 | $218.78 | $977.24 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $851.14 Typical High $4,073.80 | Professional | TC · Technical part | $588.84 | $851.14 | $4,073.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $151.36 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $1,288.25 | Professional | TC · Technical part | $407.38 | $489.78 | $1,288.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $158.49 | $158.49 | $269.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | TC · Technical part | $588.84 | $588.84 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $363.08 | Professional | 26 · Professional part | $144.54 | $181.97 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $588.84 Typical High $1,348.96 | Professional | TC · Technical part | $467.74 | $588.84 | $1,348.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $128.82 | $245.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $575.44 Typical High $1,096.48 | Professional | TC · Technical part | $501.19 | $575.44 | $1,096.48 |
Where Washington sits
The same service costs 3.1 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· 26th of 51
$589
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.