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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $107.15 | Professional | None | $60.26 | $67.61 | $107.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | UE · Used equipment | $44.67 | $50.12 | $50.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $151.36 | Facility | None | $60.26 | $114.82 | $151.36 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $9.55 Median $11.48 Typical High $14.79 | Facility | RR · Rental | $9.55 | $11.48 | $14.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.30 Median $123.03 Typical High $134.90 | Professional | None | $12.30 | $123.03 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None | $69.18 | $69.18 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $16.98 Median $134.90 Typical High $257.04 | Facility | None | $16.98 | $134.90 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $134.90 Typical High $257.04 | Professional | None | $16.98 | $134.90 | $257.04 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $154.88 | Professional | None | $112.20 | $141.25 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $120.23 Typical High $128.82 | Facility | None | $12.02 | $120.23 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $11.75 Median $117.49 Typical High $229.09 | Facility | None | $11.75 | $117.49 | $229.09 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $23.44 | Facility | RR · Rental | $11.75 | $11.75 | $23.44 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $173.78 | Facility | UE · Used equipment | $87.10 | $87.10 | $173.78 |
Premera BCBS Setting Professional Modifier None Typical Low $9.77 Median $23.44 Typical High $97.72 | Professional | None | $9.77 | $23.44 | $97.72 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | RR · Rental | $9.77 | $9.77 | $11.75 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | UE · Used equipment | $74.13 | $74.13 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $128.82 | Facility | None | $114.82 | $114.82 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.30 Median $123.03 Typical High $134.90 | Professional | None | $12.30 | $123.03 | $134.90 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | None | $64.57 | $64.57 | $112.20 |
United Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $11.22 | Professional | RR · Rental | $6.46 | $6.46 | $11.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $83.18 | Professional | UE · Used equipment | $47.86 | $47.86 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $208.93 Median $302.00 Typical High $446.68 | Facility | KU · Bidding program group 3 | $208.93 | $302.00 | $446.68 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | NR · New when rented | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $23.44 Median $97.72 Typical High $114.82 | Professional | NR · New when rented | $23.44 | $97.72 | $114.82 |
Where Washington sits
The same service costs 3.0 times more in Kansas 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
$107
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.