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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $44.67 Median $51.29 Typical High $60.26 | Facility | None | $44.67 | $51.29 | $60.26 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $4.27 Median $5.13 Typical High $5.50 | Facility | RR · Rental | $4.27 | $5.13 | $5.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.07 Median $39.81 Typical High $60.26 | Professional | None | $4.07 | $39.81 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $38.02 | Facility | None | $35.48 | $35.48 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Facility Modifier None Typical Low $6.03 Median $48.98 Typical High $89.13 | Facility | None | $6.03 | $48.98 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $48.98 Typical High $89.13 | Professional | None | $6.03 | $48.98 | $89.13 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $50.12 | Professional | None | $36.31 | $45.71 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $5.37 Median $47.86 Typical High $56.23 | Facility | None | $5.37 | $47.86 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $4.79 Median $47.86 Typical High $95.50 | Facility | None | $4.79 | $47.86 | $95.50 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $4.79 Median $4.79 Typical High $10.23 | Facility | RR · Rental | $4.79 | $4.79 | $10.23 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $77.62 | Facility | UE · Used equipment | $35.48 | $35.48 | $77.62 |
Premera BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $43.65 | Professional | None | $4.37 | $6.17 | $43.65 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.90 | Professional | RR · Rental | $4.37 | $4.37 | $4.90 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | UE · Used equipment | $33.11 | $33.11 | $35.48 |
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 $4.07 Median $39.81 Typical High $60.26 | Professional | None | $4.07 | $39.81 | $60.26 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | None | $26.92 | $26.92 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $5.13 | Professional | RR · Rental | $2.69 | $2.69 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | UE · Used equipment | $19.95 | $19.95 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $69.18 Median $97.72 Typical High $147.91 | Facility | KU · Bidding program group 3 | $69.18 | $97.72 | $147.91 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | NR · New when rented | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | NR · New when rented | $43.65 | $43.65 | $47.86 |
Where Washington sits
The same service costs 2.5 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· 15th of 51
$43.65
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.