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 $5.89 Median $12.02 Typical High $21.88 | Facility | None | $5.89 | $12.02 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $6.92 | Professional | None | $4.79 | $5.75 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $13.80 Typical High $20.42 | Facility | None | $8.13 | $13.80 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $8.71 | Professional | None | $3.80 | $5.50 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $14.79 | Professional | None | $10.23 | $12.59 | $14.79 |
Moda Health Setting Facility Modifier None Typical Low $4.90 Median $12.02 Typical High $57.54 | Facility | None | $4.90 | $12.02 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $11.48 | Professional | None | $4.79 | $5.89 | $11.48 |
Pacific Source Setting Facility Modifier None Typical Low $4.90 Median $6.92 Typical High $10.00 | Facility | None | $4.90 | $6.92 | $10.00 |
Providence Setting Facility Modifier None Typical Low $4.79 Median $7.59 Typical High $19.95 | Facility | None | $4.79 | $7.59 | $19.95 |
Providence Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $79.43 | Professional | None | $4.90 | $5.89 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.00 Median $17.38 Typical High $21.88 | Facility | None | $10.00 | $17.38 | $21.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $6.31 | Professional | None | $3.72 | $4.17 | $6.31 |
United Setting Facility Modifier None Typical Low $5.89 Median $7.41 Typical High $7.94 | Facility | None | $5.89 | $7.41 | $7.94 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.82 Typical High $5.89 | Professional | None | $2.09 | $2.82 | $5.89 |
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 $4.90 Median $4.90 Typical High $7.08 | Professional | QW · Waived lab test | $4.90 | $4.90 | $7.08 |
Where Oregon sits
The same service costs 9.3 times more in Vermont than in Georgia. 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
$6.31
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.