How much rates vary
Facilitymedian $692 · 10th to 90th $191 to $1,230Professionalmedian $204 · 10th to 90th $85 to $447
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 $234.42 Median $524.81 Typical High $1,230.27 | Facility | None | $234.42 | $524.81 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $208.93 | $234.42 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $309.03 | $309.03 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $660.69 Typical High $1,412.54 | Facility | None | $138.04 | $660.69 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,230.27 Typical High $1,548.82 | Professional | None (both parts) | $263.03 | $1,230.27 | $1,548.82 |
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 $194.98 Median $263.03 Typical High $660.69 | Professional | None (both parts) | $194.98 | $263.03 | $660.69 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $117.49 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $117.49 | $223.87 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $83.18 | $190.55 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $380.19 | Facility | None | $125.89 | $208.93 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $257.04 | Facility | None | $194.98 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
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 $263.03 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $263.03 | $371.54 | $524.81 |
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 $173.78 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $173.78 | $208.93 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $190.55 | $257.04 | $407.38 |
17 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 $93.33 Median $93.33 Typical High $123.03 | Facility | 26 · Professional part | $93.33 | $93.33 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $208.93 | Facility | TC · Technical part | $141.25 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $93.33 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $141.25 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $134.90 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $134.90 | $144.54 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $524.81 Typical High $660.69 | Professional | 26 · Professional part | $112.20 | $524.81 | $660.69 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $302.00 Typical High $1,318.26 | Professional | TC · Technical part | $147.91 | $302.00 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $114.82 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $151.36 | $380.19 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $208.93 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $75.86 | $89.13 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $295.12 | Professional | TC · Technical part | $97.72 | $120.23 | $295.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $109.65 | $165.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $147.91 | $239.88 |
Where Washington sits
The same service costs 18.2 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· 44th of 51
$209
VT $1,995UT $110
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.