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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.24 | Professional | None | $5.89 | $5.89 | $7.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | UE · Used equipment | $4.37 | $4.37 | $4.37 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.55 Median $11.22 Typical High $54.95 | Facility | None | $9.55 | $11.22 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $0.95 Median $1.12 Typical High $1.26 | Facility | RR · Rental | $0.95 | $1.12 | $1.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $0.89 Median $8.91 Typical High $12.88 | Professional | None | $0.89 | $8.91 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $8.51 | Facility | None | $7.94 | $7.94 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | None | $6.76 | $6.76 | $7.94 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | RR · Rental | $0.56 | $0.56 | $0.56 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | UE · Used equipment | $4.17 | $4.17 | $4.17 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1.41 Median $11.48 Typical High $21.38 | Facility | None | $1.41 | $11.48 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.41 Median $11.48 Typical High $21.38 | Professional | None | $1.41 | $11.48 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | None | $8.13 | $10.00 | $10.00 |
Pacific Source Setting Facility Modifier None Typical Low $1.15 Median $10.23 Typical High $12.88 | Facility | None | $1.15 | $10.23 | $12.88 |
Premera BCBS Setting Facility Modifier None Typical Low $1.02 Median $10.23 Typical High $20.42 | Facility | None | $1.02 | $10.23 | $20.42 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $2.24 | Facility | RR · Rental | $1.02 | $1.02 | $2.24 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $16.60 | Facility | UE · Used equipment | $7.76 | $7.76 | $16.60 |
Premera BCBS Setting Professional Modifier None Typical Low $0.93 Median $1.32 Typical High $9.33 | Professional | None | $0.93 | $1.32 | $9.33 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.93 Typical High $1.07 | Professional | RR · Rental | $0.93 | $0.93 | $1.07 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | UE · Used equipment | $7.08 | $7.08 | $7.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.89 Median $10.00 Typical High $12.88 | Professional | None | $0.89 | $10.00 | $12.88 |
United Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $11.22 | Professional | None | $5.25 | $5.89 | $11.22 |
United Setting Professional Modifier RR · Rental Typical Low $0.52 Median $0.59 Typical High $1.12 | Professional | RR · Rental | $0.52 | $0.59 | $1.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $4.37 Typical High $8.32 | Professional | UE · Used equipment | $3.98 | $4.37 | $8.32 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
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 $15.14 Median $21.88 Typical High $32.36 | Facility | KU · Bidding program group 3 | $15.14 | $21.88 | $32.36 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | NR · New when rented | $10.23 | $10.23 | $10.23 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | NR · New when rented | $9.33 | $9.33 | $10.23 |
Where Washington sits
The same service costs 2.3 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· 23rd of 51
$9.33
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.