How much rates vary
Facilitymedian $288 · 10th to 90th $42 to $447Professionalmedian $52 · 10th to 90th $28 to $93
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 $41.69 Median $309.03 Typical High $457.09 | Facility | None | $41.69 | $309.03 | $457.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $12.02 | Facility | 26 · Professional part | $9.12 | $9.12 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $37.15 | Facility | TC · Technical part | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $31.62 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $9.12 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $32.36 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $28.18 | $47.86 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.49 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $13.49 | $16.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $31.62 | $48.98 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.70 Median $251.19 Typical High $524.81 | Facility | None | $25.70 | $251.19 | $524.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $47.86 | $223.87 | $295.12 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $22.91 Typical High $74.13 | Professional | 26 · Professional part | $10.96 | $22.91 | $74.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $36.31 | $169.82 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $331.13 | Facility | None | $125.89 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $34.67 | $48.98 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $11.75 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $35.48 | $75.86 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $12.30 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $12.30 | $36.31 | $77.62 |
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 $14.79 Median $44.67 Typical High $67.61 | Facility | None | $14.79 | $44.67 | $67.61 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $524.81 | Facility | None | $125.89 | $257.04 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $47.86 | $67.61 | $95.50 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.49 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $36.31 | $51.29 | $74.13 |
United Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $524.81 | Facility | None | $257.04 | $338.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $87.10 | Professional | None (both parts) | $30.20 | $36.31 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $8.91 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $67.61 | Professional | TC · Technical part | $22.39 | $27.54 | $67.61 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $35.48 | $47.86 | $77.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $37.15 | $60.26 |
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 $16.60 Median $20.42 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $6.92 | $8.32 | $9.55 |
Where Washington sits
The same service costs 15.1 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· 12th of 51
$52.48
VT $407FL $26.92
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.