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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $741.31 Typical High $831.76 | Facility | None | $54.95 | $741.31 | $831.76 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $61.66 Median $74.13 Typical High $83.18 | Facility | RR · Rental | $61.66 | $74.13 | $83.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $616.60 Typical High $851.14 | Professional | None | $61.66 | $616.60 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $645.65 | Professional | None | $467.74 | $549.54 | $645.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | RR · Rental | $46.77 | $46.77 | $64.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | UE · Used equipment | $380.19 | $380.19 | $512.86 |
Kaiser Permanente Setting Facility Modifier None Typical Low $89.13 Median $724.44 Typical High $1,348.96 | Facility | None | $89.13 | $724.44 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $724.44 Typical High $1,348.96 | Professional | None | $89.13 | $724.44 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $870.96 | Facility | None | $691.83 | $758.58 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $691.83 Typical High $1,380.38 | Facility | None | $69.18 | $691.83 | $1,380.38 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $147.91 | Facility | RR · Rental | $69.18 | $69.18 | $147.91 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $1,096.48 | Facility | UE · Used equipment | $524.81 | $524.81 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $630.96 | Professional | None | $63.10 | $141.25 | $630.96 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | RR · Rental | $63.10 | $63.10 | $69.18 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | UE · Used equipment | $467.74 | $467.74 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $676.08 Typical High $851.14 | Professional | None | $61.66 | $676.08 | $851.14 |
United Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $724.44 | Professional | None | $363.08 | $380.19 | $724.44 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $38.02 Typical High $72.44 | Professional | RR · Rental | $36.31 | $38.02 | $72.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $281.84 Typical High $549.54 | Professional | UE · Used equipment | $275.42 | $281.84 | $549.54 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $1,071.52 Median $1,513.56 Typical High $2,290.87 | Facility | KU · Bidding program group 3 | $1,071.52 | $1,513.56 | $2,290.87 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | NR · New when rented | $691.83 | $691.83 | $691.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | NR · New when rented | $630.96 | $630.96 | $707.95 |
Where Washington sits
The same service costs 2.2 times more in Hawaii than in Arizona. 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· 20th of 51
$631
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.