How much rates vary
Facilitymedian $646 · 10th to 90th $155 to $1,413Professionalmedian $240 · 10th to 90th $50 to $490
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 $257.04 Median $676.08 Typical High $2,691.53 | Facility | None | $257.04 | $676.08 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $933.25 | Professional | None (both parts) | $269.15 | $354.81 | $933.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $169.82 | $398.11 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $645.65 Typical High $1,412.54 | Facility | None | $154.88 | $645.65 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $295.12 | $2,884.03 | $2,884.03 |
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 $218.78 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $218.78 | $363.08 | $776.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $100.00 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $100.00 | $323.59 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $47.86 | $218.78 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $676.08 | Facility | None | $114.82 | $281.84 | $676.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $125.89 | $125.89 | $281.84 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Facility | None | $251.19 | $288.40 | $288.40 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
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 $295.12 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $295.12 | $407.38 | $588.84 |
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 $199.53 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $199.53 | $263.03 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $213.80 | $288.40 | $457.09 |
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 $72.44 Median $72.44 Typical High $109.65 | Facility | 26 · Professional part | $72.44 | $72.44 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $323.59 | Facility | TC · Technical part | $194.98 | $194.98 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $302.00 | Professional | 52 · Reduced service | $134.90 | $134.90 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $120.23 | Professional | 53 · Discontinued | $53.70 | $53.70 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $239.88 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $104.71 | $120.23 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $181.97 Typical High $537.03 | Professional | 26 · Professional part | $89.13 | $181.97 | $537.03 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $416.87 Typical High $2,511.89 | Professional | TC · Technical part | $204.17 | $416.87 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $89.13 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $245.47 | $562.34 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $125.89 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $288.40 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $69.18 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $186.21 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $199.53 | $331.13 |
Where Washington sits
The same service costs 13.5 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· 45th of 51
$245
VT $2,089UT $155
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.