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 $9.77 Median $19.95 Typical High $36.31 | Facility | None | $9.77 | $19.95 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $9.55 | Professional | None | $7.59 | $7.94 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $33.11 | Facility | None | $13.18 | $22.39 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $14.79 | Professional | None | $6.31 | $9.12 | $14.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $23.44 | Professional | None | $16.60 | $20.42 | $23.44 |
Moda Health Setting Facility Modifier None Typical Low $8.13 Median $36.31 Typical High $114.82 | Facility | None | $8.13 | $36.31 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $15.85 | Professional | None | $7.94 | $8.51 | $15.85 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $12.30 Typical High $16.60 | Facility | None | $8.13 | $12.30 | $16.60 |
Pacific Source Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $12.59 Typical High $32.36 | Facility | None | $7.76 | $12.59 | $32.36 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $79.43 | Professional | None | $8.13 | $9.77 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $28.84 Typical High $36.31 | Facility | None | $16.22 | $28.84 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $10.47 | Professional | None | $6.17 | $6.92 | $10.47 |
United Setting Facility Modifier None Typical Low $9.77 Median $12.30 Typical High $13.18 | Facility | None | $9.77 | $12.30 | $13.18 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $9.77 | Professional | None | $4.90 | $6.61 | $9.77 |
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 $8.13 Median $9.12 Typical High $13.49 | Professional | QW · Waived lab test | $8.13 | $9.12 | $13.49 |
Where Oregon sits
The same service costs 7.1 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· 14th of 51
$11.48
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.