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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $190.55 Typical High $213.80 | Facility | None | $54.95 | $190.55 | $213.80 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $15.85 Median $19.05 Typical High $21.38 | Facility | RR · Rental | $15.85 | $19.05 | $21.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.49 Median $147.91 Typical High $223.87 | Professional | None | $13.49 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $89.13 | Facility | None | $83.18 | $83.18 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $83.18 | Professional | None | $60.26 | $70.79 | $83.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $8.32 | Professional | RR · Rental | $6.03 | $6.03 | $8.32 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | UE · Used equipment | $48.98 | $48.98 | $66.07 |
Kaiser Permanente Setting Facility Modifier None Typical Low $20.42 Median $165.96 Typical High $302.00 | Facility | None | $20.42 | $165.96 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $165.96 Typical High $302.00 | Professional | None | $20.42 | $165.96 | $302.00 |
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 $194.98 Median $199.53 Typical High $199.53 | Facility | None | $194.98 | $199.53 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $169.82 Typical High $354.81 | Facility | None | $16.98 | $169.82 | $354.81 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $38.02 | Facility | RR · Rental | $16.98 | $16.98 | $38.02 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $288.40 | Facility | UE · Used equipment | $128.82 | $128.82 | $288.40 |
Premera BCBS Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $162.18 | Professional | None | $16.22 | $22.91 | $162.18 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | RR · Rental | $16.22 | $16.22 | $17.78 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | UE · Used equipment | $123.03 | $123.03 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.49 Median $165.96 Typical High $223.87 | Professional | None | $13.49 | $165.96 | $223.87 |
United Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $186.21 | Professional | None | $93.33 | $97.72 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.77 Typical High $18.62 | Professional | RR · Rental | $9.33 | $9.77 | $18.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $72.44 Typical High $141.25 | Professional | UE · Used equipment | $69.18 | $72.44 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
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 $229.09 Median $331.13 Typical High $489.78 | Facility | KU · Bidding program group 3 | $229.09 | $331.13 | $489.78 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | NR · New when rented | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | NR · New when rented | $162.18 | $162.18 | $169.82 |
Where Washington sits
The same service costs 2.9 times more in Kansas than in Vermont. 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· 25th of 51
$155
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.