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 $6.76 Median $13.49 Typical High $25.70 | Facility | None | $6.76 | $13.49 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $8.13 | Professional | None | $5.62 | $6.76 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $15.85 Typical High $23.44 | Facility | None | $9.33 | $15.85 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $10.47 | Professional | None | $4.47 | $6.61 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $16.60 | Professional | None | $11.75 | $14.45 | $16.60 |
Moda Health Setting Facility Modifier None Typical Low $5.75 Median $48.98 Typical High $67.61 | Facility | None | $5.75 | $48.98 | $67.61 |
Moda Health Setting Professional Modifier None Typical Low $5.62 Median $6.92 Typical High $36.31 | Professional | None | $5.62 | $6.92 | $36.31 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $8.13 Typical High $11.48 | Facility | None | $5.75 | $8.13 | $11.48 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $8.91 Typical High $23.44 | Facility | None | $5.50 | $8.91 | $23.44 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $79.43 | Professional | None | $5.75 | $6.92 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.48 Median $20.42 Typical High $25.70 | Facility | None | $11.48 | $20.42 | $25.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $7.41 | Professional | None | $4.37 | $4.90 | $7.41 |
United Setting Facility Modifier None Typical Low $6.92 Median $8.71 Typical High $9.33 | Facility | None | $6.92 | $8.71 | $9.33 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.31 Typical High $6.92 | Professional | None | $2.45 | $3.31 | $6.92 |
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 $5.75 Median $6.31 Typical High $9.55 | Professional | QW · Waived lab test | $5.75 | $6.31 | $9.55 |
Where Oregon sits
The same service costs 12.9 times more in Vermont than in Alabama. 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
$7.94
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.