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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $13.80 | Professional | None | $7.24 | $8.71 | $13.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | UE · Used equipment | $5.50 | $6.61 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $22.39 | Facility | None | $13.80 | $15.49 | $22.39 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $1.29 Median $1.55 Typical High $1.91 | Facility | RR · Rental | $1.29 | $1.55 | $1.91 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.58 Median $15.49 Typical High $18.20 | Professional | None | $1.58 | $15.49 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | None | $9.33 | $9.33 | $11.75 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.24 Median $17.78 Typical High $33.11 | Facility | None | $2.24 | $17.78 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.24 Median $17.78 Typical High $33.11 | Professional | None | $2.24 | $17.78 | $33.11 |
Molina Setting Professional Modifier None Typical Low $1.86 Median $15.85 Typical High $17.78 | Professional | None | $1.86 | $15.85 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $1.58 Median $14.45 Typical High $16.22 | Facility | None | $1.58 | $14.45 | $16.22 |
Premera BCBS Setting Facility Modifier None Typical Low $1.55 Median $15.49 Typical High $30.20 | Facility | None | $1.55 | $15.49 | $30.20 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $3.09 | Facility | RR · Rental | $1.55 | $1.55 | $3.09 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $23.44 | Facility | UE · Used equipment | $11.48 | $11.48 | $23.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1.32 Median $3.16 Typical High $13.18 | Professional | None | $1.32 | $3.16 | $13.18 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.32 Typical High $1.55 | Professional | RR · Rental | $1.32 | $1.32 | $1.55 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | UE · Used equipment | $9.77 | $9.77 | $11.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $16.60 | Facility | None | $15.49 | $15.49 | $16.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.58 Median $15.49 Typical High $18.20 | Professional | None | $1.58 | $15.49 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $14.45 | Professional | None | $7.76 | $7.76 | $14.45 |
United Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $1.45 | Professional | RR · Rental | $0.79 | $0.79 | $1.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $5.89 Typical High $10.96 | Professional | UE · Used equipment | $5.89 | $5.89 | $10.96 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
3 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 KU · Bidding program group 3 Typical Low $26.30 Median $38.02 Typical High $56.23 | Facility | KU · Bidding program group 3 | $26.30 | $38.02 | $56.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | NR · New when rented | $15.49 | $15.49 | $15.49 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | NR · New when rented | $13.18 | $13.18 | $15.49 |
Where Washington sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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· 17th of 51
$14.13
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.