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 $12.02 Median $17.38 Typical High $31.62 | Facility | None | $12.02 | $17.38 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $9.77 | Professional | None | $6.76 | $8.13 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $19.50 Typical High $28.84 | Facility | None | $11.48 | $19.50 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $12.30 | Professional | None | $5.37 | $7.76 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $20.42 | Professional | None | $14.45 | $17.78 | $20.42 |
Moda Health Setting Facility Modifier None Typical Low $6.76 Median $7.41 Typical High $31.62 | Facility | None | $6.76 | $7.41 | $31.62 |
Moda Health Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $11.75 | Professional | None | $6.76 | $8.32 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $7.08 Median $9.77 Typical High $14.13 | Facility | None | $7.08 | $9.77 | $14.13 |
Providence Setting Facility Modifier None Typical Low $6.76 Median $10.72 Typical High $28.18 | Facility | None | $6.76 | $10.72 | $28.18 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $79.43 | Professional | None | $7.08 | $8.32 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.13 Median $24.55 Typical High $30.90 | Facility | None | $14.13 | $24.55 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $8.91 | Professional | None | $5.25 | $6.03 | $8.91 |
United Setting Facility Modifier None Typical Low $8.32 Median $10.47 Typical High $11.22 | Facility | None | $8.32 | $10.47 | $11.22 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $8.32 | Professional | None | $2.95 | $3.98 | $8.32 |
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 $7.08 Median $7.76 Typical High $11.48 | Professional | QW · Waived lab test | $7.08 | $7.76 | $11.48 |
Where Oregon sits
The same service costs 9.3 times more in Vermont than in New Jersey. 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· 15th of 51
$8.32
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.