Echocardiogram (heart ultrasound)
Facility: Johnson Memorial Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $177
- Cash Discount Price: $592
- vs. Medicare Baseline: 0.32x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $558.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $43 - $1,100 | 8% |
| Cmh Jackson County/Lifeways | $45 - $177 | 8% |
| Iowa Total Care | $45 - $177 | 8% |
| Lakeland Care Inc | $45 - $177 | 8% |
| Cmh Livingston County | $45 - $177 | 8% |
| Connections Csp | $45 - $177 | 8% |
| Medstar Md Health Choice | $45 - $177 | 8% |
| Cmh Oakland County | $45 - $177 | 8% |
| Cmh Wayne County/Carelink | $45 - $177 | 8% |
| Oregon Screenwise | $45 - $177 | 8% |
| Cenpatico | $45 - $177 | 8% |
| Cmh Genesee County | $45 - $177 | 8% |
| Cmh Monroe County | $45 - $177 | 8% |
| County Funding Generic | $45 - $177 | 8% |
| Texas Children's Health Plan | $45 - $177 | 8% |
| Cmh Newaygo County | $45 - $177 | 8% |
| Stephenson Cty Health | $45 - $177 | 8% |
| Family Health Network | $45 - $177 | 8% |
| Id County Other | $45 - $177 | 8% |
| Cmh Wayne Cty/Com Liv Svcs | $45 - $177 | 8% |
| Cmh North Country | $45 - $177 | 8% |
| Molina Centennial Care | $45 - $177 | 8% |
| Delaware First Health | $45 - $177 | 8% |
| Cmh Kent County | $45 - $177 | 8% |
| Idaho Womens Health Check | $45 - $177 | 8% |
| Nextlevel Health | $45 - $177 | 8% |
| Managed Health Services - Indiana | $45 - $177 | 8% |
| Ambetter / Centene | $45 - $177 | 8% |
| Cmh Ionia County | $45 - $177 | 8% |
| Harbor Health | $45 - $177 | 8% |
| California Health and Wellness | $45 - $177 | 8% |
| Covid19 Hrsa Uninsured Testing and Treatment Fund | $45 - $177 | 8% |
| Maryland Healthy Smiles - Scion Dental | $45 - $177 | 8% |
| Cigna | $45 - $2,156 | 8% |
| Id County Ada | $45 - $177 | 8% |
| Cmh Detroit Wayne Integrated Health Network | $45 - $177 | 8% |
| Robert F Sing Program | $45 - $177 | 8% |
| Paramount Advantage | $45 - $177 | 8% |
| Cardinal Innovations Lme | $45 - $177 | 8% |
| Tufts Health Public Plans | $45 - $177 | 8% |
| Community Benefit Health | $45 - $177 | 8% |
| Can Community Health Inc | $45 - $177 | 8% |
| Ascension St. Vincent Public Safety Medical | $45 - $177 | 8% |
| Childrens Comm Health Plan | $45 - $177 | 8% |
| Philadelphia County Funding | $45 - $177 | 8% |
| Cmh Ottawa County | $45 - $177 | 8% |
| Cmh Washtenaw County | $45 - $177 | 8% |
| La Care Health Plan | $45 - $177 | 8% |
| Superior Health | $45 - $177 | 8% |
| Screening for Life | $45 - $177 | 8% |
| Massachusetts Behavioral Health Partnership | $45 - $177 | 8% |
| Keystone First Chip | $45 - $177 | 8% |
| Wellsense Health Plan | $45 - $177 | 8% |
| Rx Meridian Rx | $45 - $177 | 8% |
| Indiana Breast Cervical Cancer | $45 - $177 | 8% |
| Tenncare | $45 - $177 | 8% |
| Intercommunity Health Ohp | $45 - $177 | 8% |
| Amish Mennonite | $45 - $177 | 8% |
| County Coroner | $45 - $177 | 8% |
| Delaware County Department of Health | $45 - $177 | 8% |
| Maryland Physicians Care | $45 - $177 | 8% |
| Parkland Community Health Plan | $45 - $177 | 8% |
| Medi-Cal Healthnet | $45 - $177 | 8% |
| Freedom First Healthcare | $45 - $177 | 8% |
| Medstar Dc Healthy Family | $45 - $177 | 8% |
| Cmh Berrien County | $45 - $177 | 8% |
| Humana | $45 - $205 | 8% |
| New York Cancer Services Program | $45 - $177 | 8% |
| Washtenaw Health Plan | $45 - $177 | 8% |
| Community Care Behavorial Health | $45 - $177 | 8% |
| Cmh Kalamazoo | $45 - $177 | 8% |
| Vaya Health Lme | $45 - $177 | 8% |
| Sandhills Center Lme | $45 - $177 | 8% |
| Cmh Muskegon County | $45 - $177 | 8% |
| Bccp | $45 - $177 | 8% |
| Cmh Central Mi County | $45 - $177 | 8% |
| Wi Womens Wellness | $45 - $177 | 8% |
| Healthy Blue Ne | $45 - $177 | 8% |
| Cmh West Mi County | $45 - $177 | 8% |
| Presbyterian Centennial Care | $45 - $177 | 8% |
| Nebraska Total Care | $45 - $177 | 8% |
| Id County Payette | $45 - $177 | 8% |
| Dscc | $45 - $177 | 8% |
| Cmh Montcalm County | $45 - $177 | 8% |
| Blue Cross Blue Shield | $45 - $982 | 8% |
| Cmh Ausable Valley | $45 - $177 | 8% |
| Care Connections of Northern Iowa | $45 - $177 | 8% |
| Bmc Healthnet | $45 - $177 | 8% |
| Community Health Choice | $45 - $177 | 8% |
| Mo Home State Health Plan | $45 - $177 | 8% |
| Ryan White Florida Mssrp | $45 - $177 | 8% |
| Cmh Northern Lakes County | $45 - $177 | 8% |
| Medi-Cal | $45 - $177 | 8% |
| Idaho Dept Health and Wellfare | $45 - $177 | 8% |
| Trillium Community Ohp | $45 - $177 | 8% |
| Peach State Healthplan | $45 - $177 | 8% |
| Cmh Van Buren County | $45 - $177 | 8% |
| Prestige Health Choice | $45 - $177 | 8% |
| Chhuny | $45 - $177 | 8% |
| St Joseph County Hlth Dpt | $45 - $177 | 8% |
| Sunshine State Health Plan | $45 - $177 | 8% |
| Aetna | $45 - $1,843 | 8% |
| Albany County Correctional Facility | $45 - $177 | 8% |
| Jai Medical System | $45 - $177 | 8% |
| Ghc Scw Wi Badgercare | $45 - $177 | 8% |
| Care Oregon Ohp | $45 - $177 | 8% |
| Maryland Breast & Cervical Program | $45 - $177 | 8% |
| Community Care Partners | $45 - $177 | 8% |
| Cmh Clinton-Eaton-Ingham County | $45 - $177 | 8% |
| Cmh Allegan County | $45 - $177 | 8% |
| Nascentia Health Options | $45 - $177 | 8% |
| Inland Empire Health Plan | $45 - $177 | 8% |
| Childrens Medical Services Title 19 | $45 - $177 | 8% |
| City of Philadelphia | $45 - $177 | 8% |
| Cmh Cass County | $45 - $177 | 8% |
| Keystone First | $45 - $177 | 8% |
| Kern Family Health Plan | $45 - $177 | 8% |
| Broward County Dept of Health | $45 - $177 | 8% |
| Id County Cat Fund | $45 - $177 | 8% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $45 - $177 | 8% |
| UnitedHealthcare | $45 - $2,363 | 8% |
| Bcccp-Michigan | $45 - $177 | 8% |
| Cencal Health Plan | $45 - $177 | 8% |
| Cmh Lenawee County | $45 - $177 | 8% |
| Id County Canyon | $45 - $177 | 8% |
| Partners Behavioral Lme | $45 - $177 | 8% |
| Rx Medi-Cal | $45 - $177 | 8% |
| Cmh Macomb | $45 - $177 | 8% |
| Cmh Barry County | $45 - $177 | 8% |
| Rx 340B Pass Along | $45 - $177 | 8% |
| Priority Partners | $45 - $177 | 8% |
| Dean Wi Badgercare | $45 - $177 | 8% |
| Cmh Bay-Arenac County | $45 - $177 | 8% |
| Mdwise | $45 - $177 | 8% |
| Eastpointe Lme | $45 - $177 | 8% |
| Cmh Misc | $45 - $177 | 8% |
| Health Safety Net | $45 - $177 | 8% |
| Pace of Southwest Michigan | $45 - $205 | 8% |
| Dph Tb Program | $45 - $177 | 8% |
| Hennepin Health | $45 - $177 | 8% |
| Breast Grant-Connecticut | $45 - $177 | 8% |
| Fresno County Ccs | $45 - $177 | 8% |
| Health New England | $63 - $1,536 | 11% |
| Triwest Health Alliance | $65 - $194 | 12% |
| Veterans Eval Services | $65 - $194 | 12% |
| Tricare | $65 - $194 | 12% |
| Champva | $65 - $194 | 12% |
| Us Family Health Plan | $68 - $443 | 12% |
| Clear Spring Health | $69 - $205 | 12% |
| Elementcare | $69 - $205 | 12% |
| Everence | $69 - $205 | 12% |
| Thome Pace | $69 - $205 | 12% |
| Wellmed | $69 - $205 | 12% |
| Ally Align Care Adv | $69 - $205 | 12% |
| Medicare (plans) | $69 - $675 | 12% |
| Iowa Health Advantage | $69 - $205 | 12% |
| Blue Care Network Advantage | $69 - $205 | 12% |
| Eddy Seniorcare Pace | $69 - $205 | 12% |
| Rx Retiree Rx Care | $69 - $205 | 12% |
| Scan Health Plan McR IPA Meritage Oon | $69 - $205 | 12% |
| Solis Health Plans | $69 - $205 | 12% |
| American Health Plan | $69 - $205 | 12% |
| Rx Allwin | $69 - $205 | 12% |
| Martins Point Generations Advantage | $69 - $205 | 12% |
| Care Resources Pace | $69 - $205 | 12% |
| Mercyone Cedar Valley | $69 - $205 | 12% |
| Tribute Health Plans | $69 - $205 | 12% |
| Johns Hopkins Advantage Md | $69 - $205 | 12% |
| Champion Health Plan McR Advantage | $69 - $205 | 12% |
| Siouxland Pace | $69 - $205 | 12% |
| Um Health Advantage | $69 - $205 | 12% |
| Clover Health | $69 - $205 | 12% |
| Cca - Zing Health | $69 - $205 | 12% |
| Preferred Care Partners | $69 - $205 | 12% |
| Horizon Nj Total Care | $69 - $205 | 12% |
| Lifecircles Pace | $69 - $205 | 12% |
| Pruitthealth Premier | $69 - $205 | 12% |
| Serenity Pace | $69 - $205 | 12% |
| Longevity Health Plan | $69 - $205 | 12% |
| Peak Pace Solutions | $69 - $205 | 12% |
| Eddy Senior Care-Pace | $69 - $205 | 12% |
| Perennial Advantage | $69 - $205 | 12% |
| Care Improvement Plus | $69 - $205 | 12% |
| Gateway Health Plan | $69 - $205 | 12% |
| Mercy Life | $69 - $205 | 12% |
| Health America Advantra | $69 - $205 | 12% |
| Lasso Healthcare Msa | $69 - $205 | 12% |
| Sunnyview-Pace Finance Dept | $69 - $205 | 12% |
| Welbe Health | $69 - $205 | 12% |
| Provider Partners Health Plan of Indiana | $69 - $205 | 12% |
| Evercare | $69 - $205 | 12% |
| Meridian Complete | $69 - $205 | 12% |
| Texan Plus | $69 - $205 | 12% |
| Gpa Croell Redi Mix | $69 - $205 | 12% |
| Life St Marys Pace | $69 - $205 | 12% |
| Careplus Health Plans | $69 - $205 | 12% |
| Michigan Complete Health | $69 - $205 | 12% |
| Pace Cny | $69 - $205 | 12% |
| Reliance Community Care Partners Care Resources Pace | $69 - $205 | 12% |
| Medipak Advantage | $69 - $205 | 12% |
| Huron Valley Pace | $69 - $205 | 12% |
| Pace Southeast | $69 - $205 | 12% |
| Hudson Headwaters Pace | $69 - $205 | 12% |
| Gold Advantage | $69 - $205 | 12% |
| Nascentia Health Plus | $69 - $205 | 12% |
| Innovative Integrated Health Community Plans | $69 - $205 | 12% |
| Secure Horizons Ma Pffs | $69 - $205 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $69 - $205 | 12% |
| Genesys Pace of Genesee County | $69 - $205 | 12% |
| Central Valley Medical Services Corp Pace | $69 - $205 | 12% |
| New Centry Health Careplus | $69 - $205 | 12% |
| Osu Prime Care Advantage | $69 - $205 | 12% |
| Community Pace at Home | $69 - $205 | 12% |
| Presbyterian Senior Plan | $69 - $205 | 12% |
| American Health Advantage of Idaho | $69 - $205 | 12% |
| Mass General Brigham McR Adv | $69 - $205 | 12% |
| The Health Plan | $69 - $205 | 12% |
| Union Health Service | $69 - $205 | 12% |
| Georgia Health Advantage | $69 - $205 | 12% |
| Pace Iowa Immanuel Pathways | $69 - $205 | 12% |
| Care Dimensions | $69 - $205 | 12% |
| Align Senior Care | $69 - $205 | 12% |
| Rx Grane Grnmedd | $69 - $205 | 12% |
| Commonwealth Care Alliance | $69 - $223 | 12% |
| Todays Options | $69 - $205 | 12% |
| Highmark Health Options Dual Plan | $69 - $205 | 12% |
| Provider Partners Health Plan of Illinois | $69 - $205 | 12% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $69 - $205 | 12% |
| Pace-Trinity Health | $69 - $205 | 12% |
| Aurora Special Needs | $69 - $205 | 12% |
| Hope Select Pace | $69 - $205 | 12% |
| Veterans Administration | $70 - $210 | 13% |
| Cca Senior Care Options | $74 - $655 | 13% |
| Fallon Health | $90 - $852 | 16% |
| Mass General Brigham Health Plan | $100 - $457 | 18% |
| Wellpoint | $112 - $982 | 20% |
| Unicare | $112 - $982 | 20% |
| Innovative Health Plan II | $123 - $1,376 | 22% |
| Claimdoc | $123 - $1,376 | 22% |
| Health Smart | $131 - $2,009 | 23% |
| Wc California State Comp Ins | $136 - $410 | 24% |
| Andrie Inc | $136 - $410 | 24% |
| Wc Cirma | $136 - $410 | 24% |
| Rx Saif Opdp Wc | $136 - $410 | 24% |
| Wc One Call Medical | $136 - $410 | 24% |
| Wc Aims | $136 - $410 | 24% |
| Wc New York Special Funds | $136 - $410 | 24% |
| Wc Evolutions | $136 - $410 | 24% |
| Wc Guarantee Insurance | $136 - $410 | 24% |
| Wc Allied | $136 - $410 | 24% |
| Wc Unified Health Services | $136 - $410 | 24% |
| Wc Meijers | $136 - $410 | 24% |
| Wc Chubb | $136 - $410 | 24% |
| Rx Heatlhcomp | $136 - $410 | 24% |
| Wc Tristar | $136 - $410 | 24% |
| Wc Broward County | $136 - $410 | 24% |
| Wc Fed Ex | $136 - $410 | 24% |
| Wc Align Network | $136 - $410 | 24% |
| Wc Ct Healthcare Trust | $136 - $410 | 24% |
| Wc Donegal Insurance Group | $136 - $410 | 24% |
| Wc Yankee Trails | $136 - $410 | 24% |
| Wc Ace | $136 - $410 | 24% |
| Wc Broadspire | $136 - $410 | 24% |
| Wc Mra | $136 - $410 | 24% |
| Wc Cna | $136 - $410 | 24% |
| Wc Qualcare | $136 - $410 | 24% |
| Wc North American Rishces | $136 - $410 | 24% |
| Wc Mercy Workcare | $136 - $410 | 24% |
| Wc Health Management | $136 - $410 | 24% |
| Wc Acuity | $136 - $410 | 24% |
| Wc Society | $136 - $410 | 24% |
| Wc West Bend | $136 - $410 | 24% |
| Wc Procura Management | $136 - $410 | 24% |
| Wc Ohio Bureau | $136 - $410 | 24% |
| Wc Sedgwick | $136 - $410 | 24% |
| Wc Medical Administrators | $136 - $410 | 24% |
| Wc Us Dept of Labor | $136 - $410 | 24% |
| Wc Federal Black Lung | $136 - $410 | 24% |
| Wc Alaska National Ins | $136 - $410 | 24% |
| Wc Meadowbrook Claim | $136 - $410 | 24% |
| Wc Guard Insurance Company | $136 - $410 | 24% |
| Wc Chartis | $136 - $410 | 24% |
| Wc Ford Motor | $136 - $410 | 24% |
| Wc Compone Admin | $136 - $410 | 24% |
| Wc Sheakley Unicomp | $136 - $410 | 24% |
| Wc Velocity | $136 - $410 | 24% |
| Wc Accident Fund | $136 - $410 | 24% |
| Wc Esis | $136 - $410 | 24% |
| Wc Johns Eastern | $136 - $410 | 24% |
| Njm Insurance Group | $136 - $410 | 24% |
| Wc City of Sioux City | $136 - $410 | 24% |
| Wc Gallagher Bassett | $136 - $410 | 24% |
| Wc Encore Health Network | $136 - $410 | 24% |
| Rx Restat | $136 - $410 | 24% |
| Wc Winnebago Industries | $136 - $410 | 24% |
| Wc Intermountain | $136 - $410 | 24% |
| Wc Great West Casualty | $136 - $410 | 24% |
| Wc Key Ins & Benefit Solutions | $136 - $410 | 24% |
| Wc Peerless | $136 - $410 | 24% |
| Wc Praxis Health Network | $136 - $410 | 24% |
| Wc Novanet | $136 - $410 | 24% |
| Wc Risico | $136 - $410 | 24% |
| Wc Claims Mgmt Inc | $136 - $410 | 24% |
| Wc Secura | $136 - $410 | 24% |
| Wc Asu Risk Mgt | $136 - $410 | 24% |
| Wc Michigan Millers Mutual | $136 - $410 | 24% |
| Wc Berkley Admin | $136 - $410 | 24% |
| Wc Mitchell Frankenmuth | $136 - $410 | 24% |
| Wc Paradigm | $136 - $410 | 24% |
| Wc Capitol Area Health Consortium | $136 - $410 | 24% |
| Wc Occ Health Allen | $136 - $410 | 24% |
| Wc Mdia | $136 - $410 | 24% |
| Wc First Agency/Occunet | $136 - $410 | 24% |
| Wc Fcci | $136 - $410 | 24% |
| Wc New York | $136 - $410 | 24% |
| Wc Finley Occupational Health | $136 - $410 | 24% |
| Wc Rural Mutual | $136 - $410 | 24% |
| Rx Worker's Comp | $136 - $410 | 24% |
| Wc Travelers | $136 - $410 | 24% |
| Wc Srs | $136 - $410 | 24% |
| Healthsmart Workers Comp | $136 - $410 | 24% |
| Wc Comp One Admin C/O Manageability | $136 - $410 | 24% |
| Wc United Heartland | $136 - $410 | 24% |
| Wc Nca Comp | $136 - $410 | 24% |
| Wc Zenith | $136 - $410 | 24% |
| Wc York Risk | $136 - $410 | 24% |
| Wc Michigan | $136 - $410 | 24% |
| Wc Ccmsi | $136 - $410 | 24% |
| Wc Price Chopper | $136 - $410 | 24% |
| Wc California State Ins Fund | $136 - $410 | 24% |
| Wc Emc Insurance Company | $136 - $410 | 24% |
| Wc Amtrust | $136 - $410 | 24% |
| Wc Acs Federal Employees | $136 - $410 | 24% |
| Wc Bunch & Associates | $136 - $410 | 24% |
| Wc Zurich | $136 - $410 | 24% |
| Wc Notre Dame | $136 - $410 | 24% |
| Wc Walmart | $136 - $410 | 24% |
| Wc Memic | $136 - $410 | 24% |
| Wc Employee Mutual | $136 - $410 | 24% |
| Wc Hireright | $136 - $410 | 24% |
| Wc Massachusetts | $136 - $410 | 24% |
| Wc American Claims Mgmt | $136 - $410 | 24% |
| Wc Liberty Mutual | $136 - $410 | 24% |
| Wc Genex Care for Ohio | $136 - $410 | 24% |
| Wc City of Albany | $136 - $410 | 24% |
| Wc Hartford | $136 - $410 | 24% |
| Wc Kemberton | $136 - $410 | 24% |
| Wc O'Hara Corp | $136 - $410 | 24% |
| Wc Federated | $136 - $410 | 24% |
| Wc Troy Ny | $136 - $410 | 24% |
| Wc Enablecomp | $136 - $410 | 24% |
| Wc Erie | $136 - $410 | 24% |
| Wc Sentry | $136 - $410 | 24% |
| Genex Wc | $136 - $410 | 24% |
| Wc Idaho State Ins Fund | $136 - $410 | 24% |
| Wc Icw Group | $136 - $410 | 24% |
| Wc Northeast Health | $136 - $410 | 24% |
| Wc Advantage | $136 - $410 | 24% |
| Wc Heritage Summit | $136 - $410 | 24% |
| Wc Rev Claims | $136 - $410 | 24% |
| Wc Reny Company | $136 - $410 | 24% |
| Wc Generic | $136 - $410 | 24% |
| Wc Amerisure | $136 - $410 | 24% |
| Wc West Bend Mutual/Argent | $136 - $410 | 24% |
| Wc Quiktrip | $136 - $410 | 24% |
| Wc Hastings | $136 - $410 | 24% |
| Wc Tyson | $136 - $410 | 24% |
| East Greenbush Central School District | $136 - $410 | 24% |
| Wc Smile Lodge | $136 - $410 | 24% |
| Wc Taconic (Mro) | $136 - $410 | 24% |
| Wc Taconic Farms | $136 - $410 | 24% |
| Wc Triad Group | $136 - $410 | 24% |
| Wc Saif Oregon | $136 - $410 | 24% |
| Wc Aegis | $136 - $410 | 24% |
| New York State Insurance Fund | $136 - $410 | 24% |
| Wc Nationwide | $136 - $410 | 24% |
| Wc Intercare Insurance | $136 - $410 | 24% |
| Jag Source | $136 - $410 | 24% |
| Wc Benetech | $136 - $410 | 24% |
| Wc General Motors | $136 - $410 | 24% |
| Wc Aig | $136 - $410 | 24% |
| Wc Mac Risk Management | $136 - $410 | 24% |
| Wc Pma | $136 - $410 | 24% |
| Wc Am Trust N America | $136 - $410 | 24% |
| Wc Horizon | $136 - $410 | 24% |
| Wc Hab | $136 - $410 | 24% |
| Wc Fresno Unified Emp | $136 - $410 | 24% |
| Connecticare | $143 - $779 | 26% |
| Tufts Health Plan | $144 - $443 | 26% |
| Healthscope | $147 - $440 | 26% |
| Harvard Pilgrim Healthcare | $150 - $1,475 | 27% |
| Pre-Employment | $155 - $982 | 28% |
| Blue Shield - Wa (Regence) | $155 - $982 | 28% |
| Delta Dental Mo | $155 - $1,100 | 28% |
| Wc Domestic | $155 - $982 | 28% |
| Coventry | $155 - $575 | 28% |
| Guardian | $155 - $575 | 28% |
| Delta Dental Oh | $155 - $1,100 | 28% |
| Delta Dental VA | $155 - $1,100 | 28% |
| Blue Shield - Ny Highmark Western | $155 - $982 | 28% |
| Blue Shield - Id (Regence) | $155 - $982 | 28% |
| Multiplan | $155 - $1,961 | 28% |
| Delta Dental Wa | $155 - $1,100 | 28% |
| Blue Distinction Transplant | $155 - $982 | 28% |
| Delta Dental Or | $155 - $1,100 | 28% |
| Liberty Dental | $155 - $1,100 | 28% |
| First Health | $155 - $575 | 28% |
| Centivo | $155 - $1,526 | 28% |
| Delta Dental Mi | $155 - $1,100 | 28% |
| Blue Shield - PA (Highmark) | $155 - $982 | 28% |
| Bcn Domestic | $155 - $982 | 28% |
| Prime Health Services | $155 - $1,890 | 28% |
| Health Choices | $155 - $982 | 28% |
| Blue Shield - Ca | $155 - $982 | 28% |
| Blue Care Network | $155 - $982 | 28% |
| Blue Shield - Ny Highmark Northeastern | $155 - $982 | 28% |
| Blue Benefit Administrators of Massachusetts | $155 - $982 | 28% |
| Delta Dental Nj | $155 - $1,100 | 28% |
| Meritain | $155 - $1,843 | 28% |
| Delta Dental Ny | $155 - $1,100 | 28% |
| Delta Dental Ga | $155 - $1,100 | 28% |
| Delta Dental PA | $155 - $1,100 | 28% |
| Kaiser Domestic | $155 - $982 | 28% |
| Wc Corvel | $160 - $935 | 29% |
| Connecticut Dept of Correction | $605 | 108% |
| Diversified Administrators | $1,376 | 246% |
| Geha | $1,475 | 264% |
| Gravie Admin Services | $1,843 | 330% |
| Luminare Health | $1,843 | 330% |
| Hap | $1,843 | 330% |
| Webtpa | $1,843 | 330% |
| Allied Benefit Systems | $1,843 | 330% |
| Nippon Life Ins | $1,843 | 330% |
| 1199 National Benefit Fund | $1,843 | 330% |
| PHCS | $1,961 | 351% |
| Trinity Health Share | $1,961 | 351% |
| Family Life Insurance Company | $1,961 | 351% |
| Ghc Scw | $1,961 | 351% |
| Christian Care Ministry | $1,961 | 351% |
| Allied National Global Care | $1,961 | 351% |
| Medi Share | $1,961 | 351% |
| Mvp | $1,961 | 351% |
| Pai | $1,961 | 351% |
| Manhattan Life | $1,961 | 351% |
| Lifetime Benefit Solutions | $1,961 | 351% |
| Asrm - Reliance Standard Life Insurance | $1,961 | 351% |
| Dean Health | $1,961 | 351% |
| International Benefit Administrators | $1,961 | 351% |
| Pan-American Life | $1,961 | 351% |
| Paramount HMO | $1,961 | 351% |
| Allegiance | $2,156 | 386% |
| Health Partners | $2,156 | 386% |
| Magnacare | $2,156 | 386% |
| United Behavioral Health Eap | $2,363 | 423% |