How much rates vary
Facilitymedian $295 · 10th to 90th $100 to $525Professionalmedian $135 · 10th to 90th $43 to $316
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 $169.82 Median $199.53 Typical High $524.81 | Facility | None | $169.82 | $199.53 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $524.81 | Professional | None (both parts) | $169.82 | $186.21 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $229.09 | $257.04 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $302.00 Typical High $630.96 | Facility | None | $100.00 | $302.00 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $190.55 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $147.91 | $223.87 | $524.81 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $81.28 | $194.98 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $36.31 | $117.49 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $363.08 | Facility | None | $83.18 | $165.96 | $363.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $107.15 | $107.15 | $173.78 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $186.21 Typical High $186.21 | Facility | None | $109.65 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $630.96 | Facility | None | $218.78 | $316.23 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $190.55 | $269.15 | $389.05 |
United Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Facility | None | $309.03 | $407.38 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $138.04 | $181.97 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $138.04 | $186.21 | $295.12 |
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 $57.54 Median $57.54 Typical High $85.11 | Facility | 26 · Professional part | $57.54 | $57.54 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $177.83 | Facility | TC · Technical part | $112.20 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $57.54 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | 52 · Reduced service | $85.11 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $117.49 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $83.18 | $100.00 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $70.79 | $407.38 | $407.38 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $1,380.38 | Professional | TC · Technical part | $120.23 | $245.47 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $74.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $154.88 | $338.84 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Premera BCBS 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 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $100.00 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $169.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $57.54 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $123.03 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $67.61 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $117.49 | $194.98 |
Where Washington sits
The same service costs 6.2 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· 49th of 51
$135
VT $617UT $100
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.