How much rates vary
Facilitymedian $562 · 10th to 90th $195 to $1,862Professionalmedian $269 · 10th to 90th $98 to $617
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 $309.03 Median $870.96 Typical High $2,187.76 | Facility | None | $309.03 | $870.96 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $309.03 | $331.13 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $134.90 Median $489.78 Typical High $977.24 | Facility | None | $134.90 | $489.78 | $977.24 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $2,884.03 Typical High $3,467.37 | Professional | None (both parts) | $398.11 | $2,884.03 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,023.29 | Facility | None | $512.86 | $562.34 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $295.12 | $436.52 | $977.24 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $125.89 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $125.89 | $426.58 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $89.13 | $251.19 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $389.05 Typical High $851.14 | Facility | None | $147.91 | $389.05 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $389.05 | Facility | None | $186.21 | $389.05 | $389.05 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $398.11 | $549.54 | $794.33 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Facility | None | $512.86 | $676.08 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $257.04 | $380.19 | $831.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $269.15 | $363.08 | $588.84 |
19 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 Facility Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $123.03 | Facility | 26 · Professional part | $93.33 | $93.33 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $323.59 | Facility | TC · Technical part | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $93.33 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $229.09 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $144.54 | $151.36 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $588.84 Typical High $660.69 | Professional | 26 · Professional part | $114.82 | $588.84 | $660.69 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $2,454.71 Typical High $2,884.03 | Professional | TC · Technical part | $281.84 | $2,454.71 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $114.82 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $323.59 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $398.11 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $75.86 | $89.13 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $269.15 | $588.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $109.65 | $165.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $257.04 | $416.87 |
Where Washington sits
The same service costs 7.6 times more in Vermont 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· 47th of 51
$269
VT $1,288UT $170
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.