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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $27.54 Typical High $27.54 | Professional | None | $26.92 | $27.54 | $27.54 |
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 $45.71 Median $50.12 Typical High $60.26 | Facility | None | $45.71 | $50.12 | $60.26 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $4.17 Median $5.01 Typical High $5.50 | Facility | RR · Rental | $4.17 | $5.01 | $5.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.47 Median $44.67 Typical High $58.88 | Professional | None | $4.47 | $44.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $37.15 | Facility | None | $34.67 | $34.67 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Cigna 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 |
Kaiser Permanente Setting Facility Modifier None Typical Low $6.31 Median $51.29 Typical High $95.50 | Facility | None | $6.31 | $51.29 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $51.29 Typical High $95.50 | Professional | None | $6.31 | $51.29 | $95.50 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $54.95 | Professional | None | $40.74 | $50.12 | $54.95 |
Pacific Source Setting Facility Modifier None Typical Low $5.25 Median $47.86 Typical High $53.70 | Facility | None | $5.25 | $47.86 | $53.70 |
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 $4.79 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 $10.00 | Facility | RR · Rental | $4.79 | $4.79 | $10.00 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $75.86 | Facility | UE · Used equipment | $36.31 | $36.31 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $4.27 Median $9.77 Typical High $42.66 | Professional | None | $4.27 | $9.77 | $42.66 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | RR · Rental | $4.27 | $4.27 | $5.01 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | UE · Used equipment | $32.36 | $32.36 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.47 Median $45.71 Typical High $58.88 | Professional | None | $4.47 | $45.71 | $58.88 |
United Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | None | $25.70 | $25.70 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $4.57 | Professional | RR · Rental | $2.57 | $2.57 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $34.67 | Professional | UE · Used equipment | $19.05 | $19.05 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $75.86 Median $107.15 Typical High $162.18 | Facility | KU · Bidding program group 3 | $75.86 | $107.15 | $162.18 |
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 $42.66 Median $42.66 Typical High $47.86 | Professional | NR · New when rented | $42.66 | $42.66 | $47.86 |
Where Washington sits
The same service costs 2.8 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· 18th of 51
$42.66
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.