How much rates vary
Facilitymedian $562 · 10th to 90th $240 to $977Professionalmedian $269 · 10th to 90th $98 to $603
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 $316.23 Median $794.33 Typical High $977.24 | Facility | None | $316.23 | $794.33 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $316.23 | $331.13 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $501.19 | $512.86 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $1,047.13 | Facility | None | $194.98 | $501.19 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $812.83 Typical High $3,311.31 | Professional | None (both parts) | $407.38 | $812.83 | $3,311.31 |
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 $302.00 Median $426.58 Typical High $1,000.00 | Professional | None (both parts) | $302.00 | $426.58 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $138.04 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $138.04 | $416.87 | $758.58 |
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 $346.74 Typical High $562.34 | Facility | None | $147.91 | $346.74 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $398.11 | Facility | None | $186.21 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
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 $407.38 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $407.38 | $562.34 | $812.83 |
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 $263.03 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $263.03 | $354.81 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $275.42 | $371.54 | $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 $97.72 Median $97.72 Typical High $112.20 | Facility | 26 · Professional part | $97.72 | $97.72 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $281.84 | Facility | TC · Technical part | $218.78 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $97.72 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $234.42 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $134.90 | $147.91 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $691.83 Typical High $1,000.00 | Professional | 26 · Professional part | $117.49 | $691.83 | $1,000.00 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $575.44 Typical High $2,754.23 | Professional | TC · Technical part | $288.40 | $575.44 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $85.11 | $117.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $309.03 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $288.40 | $398.11 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $93.33 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $257.04 | $588.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $114.82 | $173.78 |
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 12.3 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 $2,089UT $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.