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 $8.13 Median $16.60 Typical High $38.02 | Facility | None | $8.13 | $16.60 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $11.75 | Professional | None | $8.13 | $10.00 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $34.67 | Facility | None | $13.80 | $23.44 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $16.60 | Professional | None | $6.46 | $9.55 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $24.55 | Professional | None | $16.98 | $20.89 | $24.55 |
Moda Health Setting Facility Modifier None Typical Low $8.51 Median $50.12 Typical High $602.56 | Facility | None | $8.51 | $50.12 | $602.56 |
Moda Health Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $52.48 | Professional | None | $8.13 | $10.00 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $8.51 Median $10.47 Typical High $18.62 | Facility | None | $8.51 | $10.47 | $18.62 |
Pacific Source Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $14.13 | Professional | None | $10.23 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $8.13 Median $12.88 Typical High $33.88 | Facility | None | $8.13 | $12.88 | $33.88 |
Providence Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $79.43 | Professional | None | $8.51 | $10.23 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $38.02 | Facility | None | $16.98 | $29.51 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $10.72 | Professional | None | $6.31 | $7.24 | $10.72 |
United Setting Facility Modifier None Typical Low $10.23 Median $12.59 Typical High $13.49 | Facility | None | $10.23 | $12.59 | $13.49 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $10.23 | Professional | None | $3.55 | $4.79 | $10.23 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $8.51 Median $9.33 Typical High $13.80 | Professional | QW · Waived lab test | $8.51 | $9.33 | $13.80 |
Where Oregon sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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.
Oregon· 13th of 51
$12.59
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.