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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | None | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | UE · Used equipment | $36.31 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $114.82 | Facility | None | $60.26 | $91.20 | $114.82 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $7.76 Median $9.12 Typical High $10.72 | Facility | RR · Rental | $7.76 | $9.12 | $10.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.71 Median $87.10 Typical High $104.71 | Professional | None | $8.71 | $87.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | None | $56.23 | $56.23 | $70.79 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $6.61 | Professional | RR · Rental | $5.62 | $5.62 | $6.61 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Facility Modifier None Typical Low $12.02 Median $97.72 Typical High $181.97 | Facility | None | $12.02 | $97.72 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $97.72 Typical High $181.97 | Professional | None | $12.02 | $97.72 | $181.97 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $109.65 | Professional | None | $79.43 | $100.00 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $9.33 Median $93.33 Typical High $114.82 | Facility | None | $9.33 | $93.33 | $114.82 |
Pacific Source Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $93.33 | Professional | None | $9.33 | $9.33 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $8.91 Median $89.13 Typical High $177.83 | Facility | None | $8.91 | $89.13 | $177.83 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $18.20 | Facility | RR · Rental | $8.91 | $8.91 | $18.20 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $134.90 | Facility | UE · Used equipment | $66.07 | $66.07 | $134.90 |
Premera BCBS Setting Professional Modifier None Typical Low $7.59 Median $17.78 Typical High $75.86 | Professional | None | $7.59 | $17.78 | $75.86 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | RR · Rental | $7.59 | $7.59 | $8.91 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | UE · Used equipment | $57.54 | $57.54 | $66.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.71 Median $87.10 Typical High $104.71 | Professional | None | $8.71 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $89.13 | Professional | None | $50.12 | $50.12 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $9.12 | Professional | RR · Rental | $5.01 | $5.01 | $9.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $67.61 | Professional | UE · Used equipment | $37.15 | $37.15 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
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 $147.91 Median $213.80 Typical High $316.23 | Facility | KU · Bidding program group 3 | $147.91 | $213.80 | $316.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | NR · New when rented | $89.13 | $89.13 | $89.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | NR · New when rented | $75.86 | $75.86 | $89.13 |
Where Washington sits
The same service costs 2.6 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· 21st of 51
$79.43
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.