How much rates vary
Facilitymedian $20 · 10th to 90th $2 to $38Professionalmedian $16 · 10th to 90th $2 to $30
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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | None | $11.48 | $11.48 | $14.79 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | RR · Rental | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | UE · Used equipment | $8.71 | $8.71 | $8.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.62 Median $22.91 Typical High $54.95 | Facility | None | $18.62 | $22.91 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $1.78 Median $2.29 Typical High $2.40 | Facility | RR · Rental | $1.78 | $2.29 | $2.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.58 Median $17.38 Typical High $26.30 | Professional | None | $1.58 | $17.38 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | None | $12.88 | $12.88 | $16.22 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.51 Median $20.42 Typical High $38.02 | Facility | None | $2.51 | $20.42 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $20.42 Typical High $38.02 | Professional | None | $2.51 | $20.42 | $38.02 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $19.95 | Professional | None | $14.45 | $18.20 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $2.24 Median $20.89 Typical High $23.44 | Facility | None | $2.24 | $20.89 | $23.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2.04 Median $20.42 Typical High $41.69 | Facility | None | $2.04 | $20.42 | $41.69 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $2.04 Median $2.04 Typical High $4.57 | Facility | RR · Rental | $2.04 | $2.04 | $4.57 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $15.14 Median $15.14 Typical High $33.88 | Facility | UE · Used equipment | $15.14 | $15.14 | $33.88 |
Premera BCBS Setting Professional Modifier None Typical Low $1.95 Median $4.07 Typical High $19.50 | Professional | None | $1.95 | $4.07 | $19.50 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.09 | Professional | RR · Rental | $1.95 | $1.95 | $2.09 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | UE · Used equipment | $14.45 | $14.45 | $15.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.39 Median $22.91 Typical High $22.91 | Facility | None | $22.39 | $22.91 | $22.91 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.58 Median $17.38 Typical High $26.30 | Professional | None | $1.58 | $17.38 | $26.30 |
United Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $21.88 | Professional | None | $10.72 | $11.48 | $21.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.15 Typical High $2.19 | Professional | RR · Rental | $1.07 | $1.15 | $2.19 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.51 Typical High $16.60 | Professional | UE · Used equipment | $8.13 | $8.51 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | MS · Maintenance fee | $1.15 | $1.15 | $1.15 |
Premera BCBS Setting Facility Modifier KU · Bidding program group 3 Typical Low $26.92 Median $38.90 Typical High $57.54 | Facility | KU · Bidding program group 3 | $26.92 | $38.90 | $57.54 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | NR · New when rented | $20.42 | $20.42 | $20.42 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | NR · New when rented | $19.50 | $19.50 | $20.42 |
Where Washington sits
The same service costs 2.3 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· 16th of 51
$18.20
KS $24.55NM $10.72
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.