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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $645.65 | $812.83 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $2,951.21 Typical High $6,025.60 | Facility | None | $575.44 | $2,951.21 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,348.96 Typical High $6,606.93 | Professional | None (both parts) | $870.96 | $1,348.96 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $2,041.74 | Professional | None (both parts) | $575.44 | $741.31 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $190.55 Median $446.68 Typical High $1,096.48 | Professional | None (both parts) | $190.55 | $446.68 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $660.69 Typical High $1,584.89 | Professional | None (both parts) | $186.21 | $660.69 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $1,412.54 | Facility | None | $363.08 | $630.96 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $3,235.94 | Facility | None | $851.14 | $851.14 | $3,235.94 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
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 $870.96 Median $870.96 Typical High $1,584.89 | Professional | None (both parts) | $870.96 | $870.96 | $1,584.89 |
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 $562.34 Median $831.76 Typical High $2,187.76 | Professional | None (both parts) | $562.34 | $831.76 | $2,187.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $794.33 | $912.01 | $1,737.80 |
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 $234.42 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $131.83 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $436.52 | $537.03 | $537.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $416.87 Typical High $1,862.09 | Professional | 26 · Professional part | $309.03 | $416.87 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $891.25 Typical High $4,677.35 | Professional | TC · Technical part | $549.54 | $891.25 | $4,677.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $229.09 | $288.40 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $1,412.54 | Professional | TC · Technical part | $354.81 | $457.09 | $1,412.54 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | 26 · Professional part | $309.03 | $309.03 | $501.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $1,096.48 | Professional | TC · Technical part | $549.54 | $549.54 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $269.15 | $338.84 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $524.81 Typical High $1,513.56 | Professional | TC · Technical part | $302.00 | $524.81 | $1,513.56 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $478.63 | Professional | 26 · Professional part | $229.09 | $251.19 | $478.63 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $660.69 Typical High $1,258.93 | Professional | TC · Technical part | $562.34 | $660.69 | $1,258.93 |
Where Washington sits
The same service costs 3.2 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· 22nd of 51
$724
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.