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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | None | $40.74 | $40.74 | $61.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | UE · Used equipment | $30.90 | $30.90 | $30.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $85.11 | Facility | None | $60.26 | $77.62 | $85.11 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $6.31 Median $7.94 Typical High $8.51 | Facility | RR · Rental | $6.31 | $7.94 | $8.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.62 Median $61.66 Typical High $93.33 | Professional | None | $5.62 | $61.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | None | $45.71 | $45.71 | $57.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Facility Modifier None Typical Low $8.51 Median $69.18 Typical High $128.82 | Facility | None | $8.51 | $69.18 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $69.18 Typical High $128.82 | Professional | None | $8.51 | $69.18 | $128.82 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $70.79 | Professional | None | $51.29 | $64.57 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $81.28 Typical High $83.18 | Facility | None | $8.13 | $81.28 | $83.18 |
Premera BCBS Setting Facility Modifier None Typical Low $7.24 Median $72.44 Typical High $147.91 | Facility | None | $7.24 | $72.44 | $147.91 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $16.22 | Facility | RR · Rental | $7.24 | $7.24 | $16.22 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $53.70 Median $53.70 Typical High $120.23 | Facility | UE · Used equipment | $53.70 | $53.70 | $120.23 |
Premera BCBS Setting Professional Modifier None Typical Low $6.76 Median $15.85 Typical High $67.61 | Professional | None | $6.76 | $15.85 | $67.61 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $7.41 | Professional | RR · Rental | $6.76 | $6.76 | $7.41 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | UE · Used equipment | $51.29 | $51.29 | $53.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.62 Median $61.66 Typical High $93.33 | Professional | None | $5.62 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $77.62 | Professional | None | $38.02 | $40.74 | $77.62 |
United Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.07 Typical High $7.76 | Professional | RR · Rental | $3.80 | $4.07 | $7.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $30.20 Typical High $58.88 | Professional | UE · Used equipment | $28.84 | $30.20 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
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 $95.50 Median $138.04 Typical High $204.17 | Facility | KU · Bidding program group 3 | $95.50 | $138.04 | $204.17 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | NR · New when rented | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | NR · New when rented | $67.61 | $67.61 | $74.13 |
Where Washington sits
The same service costs 2.3 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· 16th of 51
$63.10
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.