How much rates vary
Facilitymedian $1,072 · 10th to 90th $372 to $2,239Professionalmedian $302 · 10th to 90th $98 to $676
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 $398.11 Median $1,445.44 Typical High $3,548.13 | Facility | None | $398.11 | $1,445.44 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $338.84 | $398.11 | $776.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $512.86 | $575.44 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $1,023.29 Typical High $2,238.72 | Facility | None | $223.87 | $1,023.29 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $446.68 | $2,089.30 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,348.96 | Facility | None | $562.34 | $562.34 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $1,071.52 | Professional | None (both parts) | $323.59 | $407.38 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $131.83 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $131.83 | $407.38 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $616.60 | Professional | None (both parts) | $91.20 | $281.84 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $436.52 Typical High $616.60 | Facility | None | $141.25 | $436.52 | $616.60 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $213.80 | $213.80 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $436.52 | Facility | None | $371.54 | $436.52 | $436.52 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $446.68 | $616.60 | $870.96 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $831.76 | Professional | None (both parts) | $281.84 | $338.84 | $831.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $309.03 | $426.58 | $676.08 |
18 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 $97.72 Median $97.72 Typical High $128.82 | Facility | 26 · Professional part | $97.72 | $97.72 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $354.81 | Facility | TC · Technical part | $302.00 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $97.72 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $302.00 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $363.08 | $501.19 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $549.54 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $549.54 | $691.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $630.96 Typical High $2,630.27 | Professional | TC · Technical part | $323.59 | $630.96 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $85.11 | $120.23 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $776.25 | Professional | TC · Technical part | $234.42 | $295.12 | $776.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $165.96 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $630.96 | Professional | TC · Technical part | $323.59 | $446.68 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $93.33 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $602.56 | Professional | TC · Technical part | $204.17 | $245.47 | $602.56 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $114.82 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $309.03 | $501.19 |
Where Washington sits
The same service costs 15.8 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· 45th of 51
$309
VT $3,162UT $200
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.