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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $54.95 | Facility | None | $25.70 | $31.62 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $2.51 Median $3.16 Typical High $3.31 | Facility | RR · Rental | $2.51 | $3.16 | $3.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.24 Median $24.55 Typical High $36.31 | Professional | None | $2.24 | $24.55 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $22.91 | Facility | None | $21.38 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3.39 Median $28.18 Typical High $51.29 | Facility | None | $3.39 | $28.18 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.39 Median $28.18 Typical High $51.29 | Professional | None | $3.39 | $28.18 | $51.29 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $27.54 | Professional | None | $20.42 | $25.12 | $27.54 |
Pacific Source Setting Facility Modifier None Typical Low $3.16 Median $31.62 Typical High $32.36 | Facility | None | $3.16 | $31.62 | $32.36 |
Premera BCBS Setting Facility Modifier None Typical Low $2.82 Median $28.18 Typical High $58.88 | Facility | None | $2.82 | $28.18 | $58.88 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $6.31 | Facility | RR · Rental | $2.82 | $2.82 | $6.31 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $46.77 | Facility | UE · Used equipment | $21.38 | $21.38 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $26.92 | Professional | None | $2.69 | $3.72 | $26.92 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.95 | Professional | RR · Rental | $2.69 | $2.69 | $2.95 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | UE · Used equipment | $19.95 | $19.95 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.24 Median $24.55 Typical High $36.31 | Professional | None | $2.24 | $24.55 | $36.31 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $30.90 | Professional | None | $15.14 | $15.85 | $30.90 |
United Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.58 Typical High $3.09 | Professional | RR · Rental | $1.51 | $1.58 | $3.09 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $12.02 Typical High $22.91 | Professional | UE · Used equipment | $11.22 | $12.02 | $22.91 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $38.02 Median $53.70 Typical High $81.28 | Facility | KU · Bidding program group 3 | $38.02 | $53.70 | $81.28 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | NR · New when rented | $28.18 | $28.18 | $28.18 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | NR · New when rented | $26.92 | $26.92 | $28.18 |
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
$25.12
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.