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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.22 | Professional | None | $12.02 | $16.22 | $16.22 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $27.54 Median $30.90 Typical High $54.95 | Facility | None | $27.54 | $30.90 | $54.95 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $2.63 Median $3.09 Typical High $3.47 | Facility | RR · Rental | $2.63 | $3.09 | $3.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.45 Median $24.55 Typical High $35.48 | Professional | None | $2.45 | $24.55 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Facility | None | $22.39 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | None | $19.05 | $19.05 | $23.99 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | RR · Rental | $1.51 | $1.51 | $1.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $11.48 | $11.48 | $11.48 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3.72 Median $30.20 Typical High $54.95 | Facility | None | $3.72 | $30.20 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.72 Median $30.20 Typical High $54.95 | Professional | None | $3.72 | $30.20 | $54.95 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $30.90 | Professional | None | $22.39 | $28.18 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $3.16 Median $31.62 Typical High $35.48 | Facility | None | $3.16 | $31.62 | $35.48 |
Premera BCBS Setting Facility Modifier None Typical Low $2.82 Median $28.18 Typical High $57.54 | Facility | None | $2.82 | $28.18 | $57.54 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $6.17 | Facility | RR · Rental | $2.82 | $2.82 | $6.17 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $45.71 | Facility | UE · Used equipment | $21.38 | $21.38 | $45.71 |
Premera BCBS Setting Professional Modifier None Typical Low $2.63 Median $5.75 Typical High $26.30 | Professional | None | $2.63 | $5.75 | $26.30 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.88 | Professional | RR · Rental | $2.63 | $2.63 | $2.88 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | UE · Used equipment | $19.50 | $19.50 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.45 Median $28.18 Typical High $35.48 | Professional | None | $2.45 | $28.18 | $35.48 |
United Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $30.90 | Professional | None | $16.22 | $16.22 | $30.90 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $1.62 Typical High $3.09 | Professional | RR · Rental | $1.62 | $1.62 | $3.09 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | UE · Used equipment | $12.02 | $12.02 | $22.91 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
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 $41.69 Median $60.26 Typical High $89.13 | Facility | KU · Bidding program group 3 | $41.69 | $60.26 | $89.13 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | NR · New when rented | $28.18 | $28.18 | $28.18 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | NR · New when rented | $26.30 | $26.30 | $28.18 |
Where Washington sits
The same service costs 2.4 times more in Hawaii 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· 25th of 51
$26.30
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.