How much rates vary
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 $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | UE · Used equipment | $5,754.40 | $5,754.40 | $5,754.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $11,748.98 Typical High $15,135.61 | Facility | None | $54.95 | $11,748.98 | $15,135.61 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $977.24 Median $1,174.90 Typical High $1,513.56 | Facility | RR · Rental | $977.24 | $1,174.90 | $1,513.56 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $69,183.10 Median $69,183.10 Typical High $114,815.36 | Professional | None | $69,183.10 | $69,183.10 | $114,815.36 |
Asuris Northwest Health Setting Professional Modifier RR · Rental Typical Low $7,244.36 Median $7,244.36 Typical High $11,481.54 | Professional | RR · Rental | $7,244.36 | $7,244.36 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,258.93 | $1,778.28 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,778.28 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $8,912.51 | Professional | None | $1,202.26 | $1,230.27 | $8,912.51 |
Pacific Source Setting Facility Modifier None Typical Low $1,513.56 Median $21,379.62 Typical High $25,703.96 | Facility | None | $1,513.56 | $21,379.62 | $25,703.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $13,489.63 | Facility | None | $1,348.96 | $1,348.96 | $13,489.63 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | RR · Rental | $1,348.96 | $1,348.96 | $1,348.96 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | UE · Used equipment | $10,232.93 | $10,232.93 | $10,232.93 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $12,882.50 | Professional | None | $1,288.25 | $1,778.28 | $12,882.50 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | RR · Rental | $1,288.25 | $1,288.25 | $1,513.56 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $9,549.93 Median $9,549.93 Typical High $10,232.93 | Professional | UE · Used equipment | $9,549.93 | $9,549.93 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $11,481.54 | Professional | None | $1,047.13 | $1,258.93 | $11,481.54 |
United Setting Professional Modifier None Typical Low $6,165.95 Median $6,456.54 Typical High $12,589.25 | Professional | None | $6,165.95 | $6,456.54 | $12,589.25 |
United Setting Professional Modifier RR · Rental Typical Low $616.60 Median $660.69 Typical High $1,288.25 | Professional | RR · Rental | $616.60 | $660.69 | $1,288.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $4,570.88 Median $4,897.79 Typical High $9,549.93 | Professional | UE · Used equipment | $4,570.88 | $4,897.79 | $9,549.93 |
Wellpoint Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
4 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 |
|---|---|---|---|---|---|
Premera BCBS Setting Facility Modifier KR · Partial-month rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | KR · Partial-month rental | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | NR · New when rented | $13,489.63 | $13,489.63 | $13,489.63 |
Premera BCBS Setting Professional Modifier KR · Partial-month rental Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | KR · Partial-month rental | $42.66 | $42.66 | $58.88 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $12,882.50 Median $12,882.50 Typical High $13,489.63 | Professional | NR · New when rented | $12,882.50 | $12,882.50 | $13,489.63 |
Where Washington sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 51st of 51
$2,138
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.