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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $39.81 | Professional | None | $23.44 | $25.70 | $39.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $17.38 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | None | $47.86 | $47.86 | $63.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $61.66 | Facility | None | $38.90 | $43.65 | $61.66 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $6.03 | Facility | RR · Rental | $3.63 | $4.27 | $6.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.01 Median $45.71 Typical High $50.12 | Professional | None | $5.01 | $45.71 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Facility | None | $30.90 | $30.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | None | $26.30 | $26.30 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Kaiser Permanente Setting Facility Modifier None Typical Low $6.46 Median $52.48 Typical High $104.71 | Facility | None | $6.46 | $52.48 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $52.48 Typical High $104.71 | Professional | None | $6.46 | $52.48 | $104.71 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $61.66 | Professional | None | $44.67 | $56.23 | $61.66 |
Pacific Source Setting Facility Modifier None Typical Low $4.47 Median $44.67 Typical High $61.66 | Facility | None | $4.47 | $44.67 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $4.47 Median $44.67 Typical High $83.18 | Facility | None | $4.47 | $44.67 | $83.18 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $8.51 | Facility | RR · Rental | $4.47 | $4.47 | $8.51 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $64.57 | Facility | UE · Used equipment | $33.88 | $33.88 | $64.57 |
Premera BCBS Setting Professional Modifier None Typical Low $3.63 Median $9.12 Typical High $36.31 | Professional | None | $3.63 | $9.12 | $36.31 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $4.47 | Professional | RR · Rental | $3.63 | $3.63 | $4.47 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | UE · Used equipment | $27.54 | $27.54 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.01 Median $47.86 Typical High $50.12 | Professional | None | $5.01 | $47.86 | $50.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $43.65 | Professional | None | $25.12 | $25.12 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $4.37 | Professional | RR · Rental | $2.51 | $2.51 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $32.36 | Professional | UE · Used equipment | $18.62 | $18.62 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
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 $85.11 Median $120.23 Typical High $181.97 | Facility | KU · Bidding program group 3 | $85.11 | $120.23 | $181.97 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | NR · New when rented | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | NR · New when rented | $36.31 | $36.31 | $44.67 |
Where Washington sits
The same service costs 2.8 times more in Kansas 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· 17th 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.