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 $60.26 Median $123.03 Typical High $275.42 | Facility | None | $60.26 | $123.03 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $131.83 | Professional | None | $60.26 | $66.07 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $234.42 | Facility | None | $100.00 | $169.82 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $109.65 | Professional | None | $37.15 | $69.18 | $109.65 |
HealthNet Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $181.97 | Professional | None | $125.89 | $158.49 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $151.36 Typical High $426.58 | Facility | None | $53.70 | $151.36 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $120.23 | Professional | None | $60.26 | $66.07 | $120.23 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $125.89 | Facility | None | $61.66 | $69.18 | $125.89 |
Pacific Source Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None | $61.66 | $61.66 | $67.61 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $89.13 Typical High $234.42 | Facility | None | $61.66 | $89.13 | $234.42 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $97.72 | Professional | None | $57.54 | $69.18 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $275.42 | Facility | None | $123.03 | $218.78 | $275.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $79.43 | Professional | None | $46.77 | $52.48 | $79.43 |
United Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $100.00 | Facility | None | $74.13 | $93.33 | $100.00 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $74.13 | Professional | None | $26.30 | $33.88 | $74.13 |
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 Facility Modifier 90 · Outside lab Typical Low $36.31 Median $69.18 Typical High $239.88 | Facility | 90 · Outside lab | $36.31 | $69.18 | $239.88 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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
$74.13
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.