How much rates vary
Facilitymedian $513 · 10th to 90th $151 to $1,862Professionalmedian $186 · 10th to 90th $45 to $398
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 $218.78 Median $851.14 Typical High $2,137.96 | Facility | None | $218.78 | $851.14 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $218.78 | $234.42 | $616.60 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $141.25 | $162.18 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $1,047.13 | Facility | None | $125.89 | $489.78 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $239.88 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $1,096.48 | Facility | None | $512.86 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $186.21 | $269.15 | $645.65 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $89.13 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $89.13 | $257.04 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $42.66 | $165.96 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $501.19 | Facility | None | $104.71 | $245.47 | $501.19 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $107.15 | $107.15 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $234.42 | Facility | None | $186.21 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
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 $239.88 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $239.88 | $338.84 | $489.78 |
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 $169.82 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $169.82 | $229.09 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $173.78 | $234.42 | $371.54 |
20 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 $63.10 Median $63.10 Typical High $89.13 | Facility | 26 · Professional part | $63.10 | $63.10 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | TC · Technical part | $154.88 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $63.10 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | 52 · Reduced service | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $43.65 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $162.18 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $87.10 | $109.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $95.50 | $131.83 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $154.88 Typical High $467.74 | Professional | 26 · Professional part | $75.86 | $154.88 | $467.74 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $1,621.81 | Professional | TC · Technical part | $162.18 | $331.13 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $81.28 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $128.82 | $194.98 | $457.09 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $162.18 | $229.09 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $63.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $371.54 | Professional | TC · Technical part | $114.82 | $162.18 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $74.13 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $158.49 | $263.03 |
Where Washington sits
The same service costs 5.9 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
$186
VT $741UT $126
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.