How much rates vary
Facilitymedian $1,023 · 10th to 90th $288 to $2,399Professionalmedian $316 · 10th to 90th $98 to $708
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 $426.58 Median $1,584.89 Typical High $4,168.69 | Facility | None | $426.58 | $1,584.89 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $457.09 | $1,023.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $602.56 | $660.69 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $1,023.29 Typical High $2,238.72 | Facility | None | $239.88 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $467.74 | $6,309.57 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Facility | None | $1,023.29 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $562.34 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $165.96 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $165.96 | $512.86 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $91.20 | $281.84 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $407.38 Typical High $741.31 | Facility | None | $177.83 | $407.38 | $741.31 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $131.83 | $229.09 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $457.09 | Facility | None | $371.54 | $457.09 | $457.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $467.74 | $645.65 | $933.25 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $416.87 | $1,047.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $331.13 | $446.68 | $707.95 |
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 $123.03 Median $123.03 Typical High $162.18 | Facility | 26 · Professional part | $123.03 | $123.03 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $501.19 | Facility | TC · Technical part | $302.00 | $302.00 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $123.03 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $85.11 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $309.03 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $107.15 | $173.78 | $186.21 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $309.03 Typical High $912.01 | Professional | 26 · Professional part | $147.91 | $309.03 | $912.01 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $630.96 Typical High $5,754.40 | Professional | TC · Technical part | $316.23 | $630.96 | $5,754.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $354.81 | Professional | 26 · Professional part | $107.15 | $147.91 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $239.88 | $380.19 | $870.96 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $208.93 Typical High $302.00 | Professional | 26 · Professional part | $147.91 | $208.93 | $302.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $436.52 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $309.03 | Professional | 26 · Professional part | $100.00 | $117.49 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $812.83 | Professional | TC · Technical part | $213.80 | $288.40 | $812.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $144.54 | $218.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $302.00 | $489.78 |
Where Washington sits
The same service costs 6.6 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· 48th of 51
$316
VT $1,349UT $204
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.