How much rates vary
Facilitymedian $123 · 10th to 90th $14 to $229Professionalmedian $24 · 10th to 90th $18 to $79
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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None (both parts) | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.32 Median $107.15 Typical High $229.09 | Facility | None | $8.32 | $107.15 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $162.18 | Professional | None (both parts) | $23.44 | $28.84 | $162.18 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $120.23 | Professional | 26 · Professional part | $10.96 | $12.88 | $120.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $15.85 Typical High $97.72 | Professional | TC · Technical part | $12.59 | $15.85 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $8.32 Median $15.85 Typical High $30.90 | Professional | None (both parts) | $8.32 | $15.85 | $30.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $19.50 Typical High $70.79 | Professional | None (both parts) | $8.13 | $19.50 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $38.02 | Facility | None | $13.18 | $16.98 | $38.02 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None (both parts) | $13.49 | $13.49 | $13.49 |
Premera BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $23.99 | Facility | None | $22.91 | $22.91 | $23.99 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | TC · Technical part | $13.18 | $13.18 | $13.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $263.03 | Facility | None | $91.20 | $123.03 | $263.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $34.67 | Professional | None (both parts) | $23.44 | $23.44 | $34.67 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $10.96 | $15.85 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $19.05 | Professional | TC · Technical part | $12.59 | $12.59 | $19.05 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $57.54 | Professional | None (both parts) | $22.39 | $26.30 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $11.75 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $14.79 Typical High $30.90 | Professional | TC · Technical part | $12.30 | $14.79 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.50 Median $26.30 Typical High $41.69 | Professional | None (both parts) | $19.50 | $26.30 | $41.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.49 Typical High $25.70 | Professional | TC · Technical part | $11.48 | $15.49 | $25.70 |
2 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 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.50 |
Where Washington sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 21st of 51
$23.99
WI $39.81NC $17.38
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.