How much rates vary
Facilitymedian $302 · 10th to 90th $115 to $525Professionalmedian $170 · 10th to 90th $43 to $324
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 $165.96 Median $457.09 Typical High $524.81 | Facility | None | $165.96 | $457.09 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $524.81 | Professional | None (both parts) | $165.96 | $181.97 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $251.19 | $251.19 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $630.96 | Facility | None | $97.72 | $295.12 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $1,412.54 Typical High $1,445.44 | Professional | None (both parts) | $186.21 | $1,412.54 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $151.36 | $234.42 | $549.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $72.44 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $72.44 | $199.53 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $37.15 | $158.49 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $181.97 Typical High $389.05 | Facility | None | $85.11 | $181.97 | $389.05 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $93.33 | $97.72 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $181.97 | Facility | None | $109.65 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $630.96 | Facility | None | $218.78 | $316.23 | $630.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $186.21 | $263.03 | $380.19 |
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 $134.90 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $134.90 | $181.97 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $134.90 | $181.97 | $288.40 |
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 $53.70 Median $53.70 Typical High $85.11 | Facility | 26 · Professional part | $53.70 | $53.70 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $181.97 | Facility | TC · Technical part | $112.20 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $53.70 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 52 · Reduced service | $83.18 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 53 · Discontinued | $33.11 | $33.11 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $117.49 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $75.86 | $77.62 | $85.11 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $64.57 | $316.23 | $389.05 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $1,318.26 | Professional | TC · Technical part | $120.23 | $245.47 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $158.49 | Professional | 26 · Professional part | $46.77 | $66.07 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $95.50 | $169.82 | $426.58 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $91.20 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $169.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $128.82 | Professional | 26 · Professional part | $43.65 | $51.29 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $281.84 | Professional | TC · Technical part | $91.20 | $125.89 | $281.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $63.10 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $120.23 | $194.98 |
Where Washington sits
The same service costs 5.8 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· 41st of 51
$170
VT $603UT $105
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.