How much rates vary
Facilitymedian $46 · 10th to 90th $5 to $79Professionalmedian $36 · 10th to 90th $5 to $65
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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | None | $26.30 | $26.30 | $38.90 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $54.95 | Facility | None | $42.66 | $51.29 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $3.98 Median $5.13 Typical High $5.37 | Facility | RR · Rental | $3.98 | $5.13 | $5.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.55 Median $38.90 Typical High $58.88 | Professional | None | $3.55 | $38.90 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | None | $24.55 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
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 $4.90 Median $36.31 Typical High $48.98 | Professional | None | $4.90 | $36.31 | $48.98 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $51.29 Typical High $52.48 | Facility | None | $5.13 | $51.29 | $52.48 |
Pacific Source Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $52.48 | Professional | None | $5.25 | $5.25 | $52.48 |
Premera BCBS Setting Facility Modifier None Typical Low $4.57 Median $45.71 Typical High $95.50 | Facility | None | $4.57 | $45.71 | $95.50 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $10.23 | Facility | RR · Rental | $4.57 | $4.57 | $10.23 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $77.62 | Facility | UE · Used equipment | $34.67 | $34.67 | $77.62 |
Premera BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $43.65 | Professional | None | $4.37 | $6.03 | $43.65 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | RR · Rental | $4.37 | $4.37 | $4.79 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | UE · Used equipment | $33.11 | $33.11 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.55 Median $38.90 Typical High $58.88 | Professional | None | $3.55 | $38.90 | $58.88 |
United Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $50.12 | Professional | None | $23.99 | $26.30 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.63 Typical High $5.01 | Professional | RR · Rental | $2.40 | $2.63 | $5.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $19.95 Typical High $38.02 | Professional | UE · Used equipment | $18.20 | $19.95 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | MS · Maintenance fee | $2.63 | $2.63 | $2.63 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | NR · New when rented | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | NR · New when rented | $43.65 | $43.65 | $45.71 |
Where Washington sits
The same service costs 10.0 times more in Kansas 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
$40.74
KS $240NM $23.99
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.