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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | UE · Used equipment | $16.98 | $16.98 | $16.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $54.95 | Facility | None | $38.02 | $42.66 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $4.79 | Facility | RR · Rental | $3.63 | $4.27 | $4.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.55 Median $35.48 Typical High $50.12 | Professional | None | $3.55 | $35.48 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Facility | None | $30.90 | $30.90 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | None | $26.30 | $26.30 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $16.60 | $16.60 | $16.60 |
Kaiser Permanente Setting Facility Modifier None Typical Low $5.37 Median $44.67 Typical High $81.28 | Facility | None | $5.37 | $44.67 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $44.67 Typical High $81.28 | Professional | None | $5.37 | $44.67 | $81.28 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Pacific Source Setting Facility Modifier None Typical Low $4.37 Median $43.65 Typical High $51.29 | Facility | None | $4.37 | $43.65 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $3.98 Median $39.81 Typical High $83.18 | Facility | None | $3.98 | $39.81 | $83.18 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $3.98 Median $3.98 Typical High $8.51 | Facility | RR · Rental | $3.98 | $3.98 | $8.51 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $64.57 | Facility | UE · Used equipment | $30.20 | $30.20 | $64.57 |
Premera BCBS Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $36.31 | Professional | None | $3.63 | $5.01 | $36.31 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | RR · Rental | $3.63 | $3.63 | $4.07 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | UE · Used equipment | $27.54 | $27.54 | $30.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Facility | None | $42.66 | $42.66 | $43.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.55 Median $38.90 Typical High $50.12 | Professional | None | $3.55 | $38.90 | $50.12 |
United Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $42.66 | Professional | None | $20.89 | $22.91 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.29 Typical High $4.27 | Professional | RR · Rental | $2.09 | $2.29 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $16.98 Typical High $32.36 | Professional | UE · Used equipment | $15.85 | $16.98 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
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 $60.26 Median $87.10 Typical High $131.83 | Facility | KU · Bidding program group 3 | $60.26 | $87.10 | $131.83 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | NR · New when rented | $39.81 | $39.81 | $39.81 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | NR · New when rented | $36.31 | $36.31 | $39.81 |
Where Washington sits
The same service costs 2.7 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· 20th of 51
$36.31
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.