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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.59 | Professional | None | $10.00 | $10.00 | $12.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | UE · Used equipment | $7.59 | $7.59 | $7.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $54.95 | Facility | None | $16.22 | $19.50 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $1.55 Median $1.95 Typical High $2.04 | Facility | RR · Rental | $1.55 | $1.95 | $2.04 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.35 Median $14.79 Typical High $22.39 | Professional | None | $1.35 | $14.79 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $14.13 | Facility | None | $13.18 | $13.18 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | None | $11.22 | $11.22 | $13.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | RR · Rental | $0.83 | $0.83 | $0.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | UE · Used equipment | $6.31 | $6.31 | $6.31 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.14 Median $17.78 Typical High $32.36 | Facility | None | $2.14 | $17.78 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.14 Median $17.78 Typical High $32.36 | Professional | None | $2.14 | $17.78 | $32.36 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $16.98 | Professional | None | $12.30 | $15.49 | $16.98 |
Pacific Source Setting Facility Modifier None Typical Low $1.95 Median $19.05 Typical High $19.50 | Facility | None | $1.95 | $19.05 | $19.50 |
Premera BCBS Setting Facility Modifier None Typical Low $1.78 Median $17.38 Typical High $36.31 | Facility | None | $1.78 | $17.38 | $36.31 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $1.78 Median $1.78 Typical High $3.98 | Facility | RR · Rental | $1.78 | $1.78 | $3.98 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $13.18 Median $13.18 Typical High $29.51 | Facility | UE · Used equipment | $13.18 | $13.18 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $1.66 Median $3.55 Typical High $16.60 | Professional | None | $1.66 | $3.55 | $16.60 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | RR · Rental | $1.66 | $1.66 | $1.82 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | UE · Used equipment | $12.59 | $12.59 | $13.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.05 Median $19.50 Typical High $19.50 | Facility | None | $19.05 | $19.50 | $19.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.35 Median $14.79 Typical High $22.39 | Professional | None | $1.35 | $14.79 | $22.39 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $18.62 | Professional | None | $9.12 | $9.77 | $18.62 |
United Setting Professional Modifier RR · Rental Typical Low $0.91 Median $0.98 Typical High $1.86 | Professional | RR · Rental | $0.91 | $0.98 | $1.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $7.41 Typical High $14.13 | Professional | UE · Used equipment | $6.92 | $7.41 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
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 $22.91 Median $33.11 Typical High $50.12 | Facility | KU · Bidding program group 3 | $22.91 | $33.11 | $50.12 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | NR · New when rented | $17.38 | $17.38 | $17.38 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | NR · New when rented | $16.60 | $16.60 | $17.38 |
Where Washington sits
The same service costs 2.7 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
$15.49
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.