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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | UE · Used equipment | $8.51 | $8.51 | $8.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.62 Median $21.38 Typical High $54.95 | Facility | None | $18.62 | $21.38 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $1.78 Median $2.14 Typical High $2.29 | Facility | RR · Rental | $1.78 | $2.14 | $2.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.70 Median $16.98 Typical High $25.12 | Professional | None | $1.70 | $16.98 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $15.49 | Facility | None | $14.45 | $14.45 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.57 Median $20.89 Typical High $38.02 | Facility | None | $2.57 | $20.89 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.57 Median $20.89 Typical High $38.02 | Professional | None | $2.57 | $20.89 | $38.02 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $20.89 | Professional | None | $15.49 | $19.05 | $20.89 |
Pacific Source Setting Facility Modifier None Typical Low $2.24 Median $19.95 Typical High $23.44 | Facility | None | $2.24 | $19.95 | $23.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2.00 Median $19.95 Typical High $39.81 | Facility | None | $2.00 | $19.95 | $39.81 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $2.00 Median $2.00 Typical High $4.27 | Facility | RR · Rental | $2.00 | $2.00 | $4.27 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $32.36 | Facility | UE · Used equipment | $14.79 | $14.79 | $32.36 |
Premera BCBS Setting Professional Modifier None Typical Low $1.82 Median $3.98 Typical High $18.20 | Professional | None | $1.82 | $3.98 | $18.20 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.82 Typical High $2.04 | Professional | RR · Rental | $1.82 | $1.82 | $2.04 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | UE · Used equipment | $13.80 | $13.80 | $14.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Facility | None | $21.38 | $21.38 | $21.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.70 Median $16.98 Typical High $25.12 | Professional | None | $1.70 | $16.98 | $25.12 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | None | $11.22 | $11.22 | $21.38 |
United Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.12 Typical High $2.14 | Professional | RR · Rental | $1.12 | $1.12 | $2.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | UE · Used equipment | $8.32 | $8.32 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
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 $28.84 Median $40.74 Typical High $61.66 | Facility | KU · Bidding program group 3 | $28.84 | $40.74 | $61.66 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | NR · New when rented | $19.95 | $19.95 | $19.95 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | NR · New when rented | $18.20 | $18.20 | $19.95 |
Where Washington sits
The same service costs 2.2 times more in Hawaii 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· 15th of 51
$18.20
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.