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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | None | $57.54 | $70.79 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $134.90 | Professional | None | $81.28 | $134.90 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $102.33 | Facility | None | $77.62 | $102.33 | $102.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $91.20 Median $537.03 Typical High $741.31 | Professional | None | $91.20 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Facility | None | $60.26 | $60.26 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Kaiser Permanente Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $190.55 | Facility | None | $100.00 | $128.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $213.80 | Professional | None | $97.72 | $131.83 | $213.80 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | None | $72.44 | $81.28 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $104.71 | Facility | None | $83.18 | $95.50 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $204.17 | Facility | None | $93.33 | $93.33 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | None | $87.10 | $87.10 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $112.20 | Professional | None | $85.11 | $91.20 | $112.20 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $93.33 | Professional | None | $44.67 | $47.86 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $162.18 | Professional | None | $60.26 | $75.86 | $162.18 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | NR · New when rented | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | NR · New when rented | $87.10 | $87.10 | $102.33 |
Where Washington sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 11th of 51
$91.20
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.