How much rates vary
Facilitymedian $661 · 10th to 90th $170 to $1,230Professionalmedian $200 · 10th to 90th $65 to $417
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 $251.19 Median $407.38 Typical High $1,230.27 | Facility | None | $251.19 | $407.38 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $251.19 | $331.13 | $870.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | None (both parts) | $371.54 | $371.54 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $645.65 Typical High $1,412.54 | Facility | None | $144.54 | $645.65 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $275.42 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,023.29 | Facility | None | $524.81 | $524.81 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $204.17 | $346.74 | $724.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $109.65 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $109.65 | $295.12 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $61.66 | $181.97 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $457.09 | Facility | None | $123.03 | $245.47 | $457.09 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $177.83 | $177.83 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $229.09 Median $269.15 Typical High $269.15 | Facility | None | $229.09 | $269.15 | $269.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,412.54 | Facility | None | $478.63 | $707.95 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $275.42 | $389.05 | $549.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Facility | None | $707.95 | $933.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $616.60 | Professional | None (both parts) | $186.21 | $251.19 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $199.53 | $269.15 | $426.58 |
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 $79.43 Median $79.43 Typical High $117.49 | Facility | 26 · Professional part | $79.43 | $79.43 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $275.42 | Facility | TC · Technical part | $173.78 | $173.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | 52 · Reduced service | $125.89 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $120.23 | Professional | 53 · Discontinued | $51.29 | $51.29 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $645.65 | Professional | TC · Technical part | $173.78 | $204.17 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $123.03 | Professional | 26 · Professional part | $69.18 | $114.82 | $123.03 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $199.53 Typical High $602.56 | Professional | 26 · Professional part | $97.72 | $199.53 | $602.56 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $2,884.03 | Professional | TC · Technical part | $181.97 | $363.08 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $97.72 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $218.78 | $501.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $97.72 | $138.04 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $251.19 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $75.86 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $123.03 | $169.82 | $467.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $93.33 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $173.78 | $288.40 |
Where Washington sits
The same service costs 24.0 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
$200
VT $2,951UT $123
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.