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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | None | $38.90 | $38.90 | $50.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $83.18 | Facility | None | $60.26 | $74.13 | $83.18 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $6.31 Median $7.41 Typical High $8.32 | Facility | RR · Rental | $6.31 | $7.41 | $8.32 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.75 Median $57.54 Typical High $85.11 | Professional | None | $5.75 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | None | $39.81 | $39.81 | $46.77 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Kaiser Permanente Setting Facility Modifier None Typical Low $8.51 Median $69.18 Typical High $125.89 | Facility | None | $8.51 | $69.18 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $69.18 Typical High $125.89 | Professional | None | $8.51 | $69.18 | $125.89 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | None | $52.48 | $64.57 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $7.59 Median $63.10 Typical High $81.28 | Facility | None | $7.59 | $63.10 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $6.76 Median $67.61 Typical High $138.04 | Facility | None | $6.76 | $67.61 | $138.04 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $14.79 | Facility | RR · Rental | $6.76 | $6.76 | $14.79 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $109.65 | Facility | UE · Used equipment | $51.29 | $51.29 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $6.31 Median $13.80 Typical High $63.10 | Professional | None | $6.31 | $13.80 | $63.10 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $7.08 | Professional | RR · Rental | $6.31 | $6.31 | $7.08 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | UE · Used equipment | $46.77 | $46.77 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.75 Median $67.61 Typical High $85.11 | Professional | None | $5.75 | $67.61 | $85.11 |
United Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $74.13 | Professional | None | $36.31 | $38.90 | $74.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.89 Typical High $7.41 | Professional | RR · Rental | $3.63 | $3.89 | $7.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $28.84 Typical High $54.95 | Professional | UE · Used equipment | $27.54 | $28.84 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
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 $97.72 Median $141.25 Typical High $208.93 | Facility | KU · Bidding program group 3 | $97.72 | $141.25 | $208.93 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | NR · New when rented | $67.61 | $67.61 | $67.61 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | NR · New when rented | $63.10 | $63.10 | $67.61 |
Where Washington sits
The same service costs 2.1 times more in Montana 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
$63.10
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.