How much rates vary
Facilitymedian $186 · 10th to 90th $100 to $468Professionalmedian $162 · 10th to 90th $43 to $309
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 $158.49 Median $354.81 Typical High $812.83 | Facility | None | $158.49 | $354.81 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $131.83 | $158.49 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $123.03 | $144.54 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $199.53 | Facility | None | $95.50 | $141.25 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $831.76 Typical High $1,096.48 | Professional | None (both parts) | $177.83 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $436.52 | Facility | None | $239.88 | $269.15 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $154.88 | $194.98 | $371.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $53.70 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $53.70 | $158.49 | $309.03 |
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 $61.66 Median $158.49 Typical High $251.19 | Facility | None | $61.66 | $158.49 | $251.19 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $85.11 | $85.11 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $257.04 | Facility | None | $131.83 | $186.21 | $257.04 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $199.53 | Facility | None | $128.82 | $141.25 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $177.83 | $251.19 | $363.08 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $138.04 | $154.88 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $131.83 | $177.83 | $281.84 |
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 $40.74 Median $40.74 Typical High $54.95 | Facility | 26 · Professional part | $40.74 | $40.74 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $141.25 | Facility | TC · Technical part | $117.49 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $40.74 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $117.49 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $56.23 | $70.79 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $229.09 Typical High $295.12 | Professional | 26 · Professional part | $48.98 | $229.09 | $295.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $602.56 Typical High $794.33 | Professional | TC · Technical part | $128.82 | $602.56 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $144.54 | $269.15 |
Premera BCBS Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $257.04 | Facility | TC · Technical part | $125.89 | $186.21 | $257.04 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $69.18 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $181.97 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $43.65 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $112.20 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $47.86 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $128.82 | $213.80 |
Where Washington sits
The same service costs 5.4 times more in Vermont than in Texas. 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· 21st of 51
$162
VT $550TX $102
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.