How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $169.82 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $138.04 | Facility | 26 · Professional part | $114.82 | $114.82 | $138.04 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $1,258.93 | Professional | 26 · Professional part | $165.96 | $165.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $467.74 | $467.74 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $204.17 | $416.87 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $134.90 | $223.87 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $39.81 | $144.54 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $141.25 Typical High $316.23 | Facility | None | $72.44 | $141.25 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | 26 · Professional part | $165.96 | $165.96 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $302.00 | $380.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $478.63 | Professional | 26 · Professional part | $194.98 | $239.88 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $245.47 | $281.84 | $489.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $165.96 Typical High $309.03 | Professional | 26 · Professional part | $154.88 | $165.96 | $309.03 |
3 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 TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $338.84 | Professional | TC · Technical part | $100.00 | $131.83 | $338.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $104.71 | $173.78 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 48th of 51
$209
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.