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 $12.88 Median $25.70 Typical High $60.26 | Facility | None | $12.88 | $25.70 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $19.95 | Professional | None | $12.88 | $15.85 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $37.15 Typical High $53.70 | Facility | None | $21.88 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $26.30 | Professional | None | $12.30 | $15.14 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $38.90 | Professional | None | $27.54 | $33.88 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $50.12 Typical High $125.89 | Facility | None | $13.49 | $50.12 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $83.18 | Professional | None | $12.88 | $15.85 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $13.49 Median $18.62 Typical High $26.92 | Facility | None | $13.49 | $18.62 | $26.92 |
Providence Setting Facility Modifier None Typical Low $12.88 Median $20.42 Typical High $57.54 | Facility | None | $12.88 | $20.42 | $57.54 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $79.43 | Professional | None | $13.49 | $16.22 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $60.26 | Facility | None | $26.92 | $46.77 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $16.98 | Professional | None | $10.00 | $11.48 | $16.98 |
United Setting Facility Modifier None Typical Low $16.22 Median $19.95 Typical High $21.38 | Facility | None | $16.22 | $19.95 | $21.38 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $16.22 | Professional | None | $5.62 | $7.59 | $16.22 |
2 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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 90 · Outside lab Typical Low $7.41 Median $9.12 Typical High $72.44 | Facility | 90 · Outside lab | $7.41 | $9.12 | $72.44 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $19.50 Typical High $57.54 | Professional | QW · Waived lab test | $13.49 | $19.50 | $57.54 |
Where Oregon sits
The same service costs 10.7 times more in Vermont 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· 14th of 51
$18.62
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.