How much rates vary
Facilitymedian $302 · 10th to 90th $48 to $525Professionalmedian $55 · 10th to 90th $28 to $98
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 $47.86 Median $72.44 Typical High $524.81 | Facility | None | $47.86 | $72.44 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $16.22 | Facility | 26 · Professional part | $12.30 | $12.30 | $16.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $41.69 | Facility | TC · Technical part | $35.48 | $35.48 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $38.90 | $47.86 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $12.30 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $35.48 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $32.36 | $47.86 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $12.02 | $17.78 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $52.48 | $63.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $309.03 Typical High $630.96 | Facility | None | $30.20 | $309.03 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $54.95 | $257.04 | $346.74 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $14.79 | $85.11 | $134.90 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $39.81 | $208.93 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $446.68 | Facility | None | $234.42 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $114.82 | Professional | None (both parts) | $41.69 | $58.88 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $29.51 | Professional | 26 · Professional part | $12.30 | $16.22 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $85.11 | Professional | TC · Technical part | $28.18 | $39.81 | $85.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $16.60 Median $42.66 Typical High $89.13 | Professional | None (both parts) | $16.60 | $42.66 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $26.30 | $53.70 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $19.50 Median $50.12 Typical High $74.13 | Facility | None | $19.50 | $50.12 | $74.13 |
Premera BCBS Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Facility | None | $53.70 | $53.70 | $54.95 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $630.96 | Facility | None | $134.90 | $309.03 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $54.95 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $54.95 | $77.62 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $20.89 | $30.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $57.54 | $81.28 |
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 $37.15 Median $42.66 Typical High $102.33 | Professional | None (both parts) | $37.15 | $42.66 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $12.02 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $30.90 | $74.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $41.69 | $56.23 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $14.79 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $30.90 | $41.69 | $69.18 |
2 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 Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.99 Typical High $27.54 | Professional | 52 · Reduced service | $20.42 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $8.13 | $9.55 | $10.96 |
Where Washington sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 17th of 51
$54.95
VT $389FL $30.90
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.