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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $21.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $61.66 | Facility | None | $46.77 | $56.23 | $61.66 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $4.57 Median $5.62 Typical High $6.03 | Facility | RR · Rental | $4.57 | $5.62 | $6.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.07 Median $43.65 Typical High $66.07 | Professional | None | $4.07 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Facility | None | $38.02 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Kaiser Permanente Setting Facility Modifier None Typical Low $6.17 Median $50.12 Typical High $91.20 | Facility | None | $6.17 | $50.12 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $50.12 Typical High $91.20 | Professional | None | $6.17 | $50.12 | $91.20 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $51.29 | Professional | None | $37.15 | $46.77 | $51.29 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $57.54 Typical High $58.88 | Facility | None | $5.75 | $57.54 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $5.13 Median $51.29 Typical High $104.71 | Facility | None | $5.13 | $51.29 | $104.71 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $11.22 | Facility | RR · Rental | $5.13 | $5.13 | $11.22 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $85.11 | Facility | UE · Used equipment | $38.02 | $38.02 | $85.11 |
Premera BCBS Setting Professional Modifier None Typical Low $4.79 Median $10.23 Typical High $47.86 | Professional | None | $4.79 | $10.23 | $47.86 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.79 Median $4.79 Typical High $5.25 | Professional | RR · Rental | $4.79 | $4.79 | $5.25 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | UE · Used equipment | $35.48 | $35.48 | $38.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.07 Median $43.65 Typical High $66.07 | Professional | None | $4.07 | $43.65 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $54.95 | Professional | None | $27.54 | $28.84 | $54.95 |
United Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.88 Typical High $5.50 | Professional | RR · Rental | $2.75 | $2.88 | $5.50 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $21.38 Typical High $41.69 | Professional | UE · Used equipment | $20.89 | $21.38 | $41.69 |
Wellpoint Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
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 $100.00 Typical High $151.36 | Facility | KU · Bidding program group 3 | $69.18 | $100.00 | $151.36 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | NR · New when rented | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | NR · New when rented | $47.86 | $47.86 | $51.29 |
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· 14th of 51
$46.77
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.