How much rates vary
Facilitymedian $178 · 10th to 90th $25 to $389Professionalmedian $151 · 10th to 90th $19 to $229
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | UE · Used equipment | $104.71 | $104.71 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $208.93 Typical High $302.00 | Facility | None | $54.95 | $208.93 | $302.00 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $20.42 Median $24.55 Typical High $33.11 | Facility | RR · Rental | $20.42 | $24.55 | $33.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $245.47 Typical High $275.42 | Professional | None | $28.18 | $245.47 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
Kaiser Permanente Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $42.66 | Facility | None | $22.91 | $28.84 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $42.66 | Professional | None | $22.91 | $28.84 | $42.66 |
Pacific Source Setting Facility Modifier None Typical Low $23.44 Median $331.13 Typical High $467.74 | Facility | None | $23.44 | $331.13 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $245.47 | Facility | None | $24.55 | $24.55 | $245.47 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $45.71 | Facility | RR · Rental | $24.55 | $24.55 | $45.71 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | UE · Used equipment | $181.97 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier None Typical Low $19.50 Median $27.54 Typical High $194.98 | Professional | None | $19.50 | $27.54 | $194.98 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | RR · Rental | $19.50 | $19.50 | $24.55 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $147.91 Typical High $162.18 | Professional | UE · Used equipment | $27.54 | $147.91 | $162.18 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $26.92 | Facility | RR · Rental | $22.91 | $22.91 | $26.92 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $245.47 Typical High $269.15 | Professional | None | $28.18 | $245.47 | $269.15 |
United Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $234.42 | Professional | None | $109.65 | $128.82 | $234.42 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.80 Typical High $25.70 | Professional | RR · Rental | $13.18 | $13.80 | $25.70 |
United Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $95.50 Typical High $173.78 | Professional | UE · Used equipment | $83.18 | $95.50 | $173.78 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
5 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 Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | NR · New when rented | $245.47 | $245.47 | $245.47 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | NR · New when rented | $194.98 | $194.98 | $229.09 |
Where Washington sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 40th of 51
$151
KS $447IL $19.95
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.