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 $7.41 Median $15.49 Typical High $27.54 | Facility | None | $7.41 | $15.49 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $7.41 | Professional | None | $4.90 | $6.03 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $17.38 Typical High $19.50 | Facility | None | $10.23 | $17.38 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.92 Typical High $10.23 | Professional | None | $3.55 | $6.92 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $18.62 | Professional | None | $12.88 | $16.22 | $18.62 |
Moda Health Setting Facility Modifier None Typical Low $5.62 Median $6.17 Typical High $27.54 | Facility | None | $5.62 | $6.17 | $27.54 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $8.51 | Professional | None | $5.50 | $6.17 | $8.51 |
Pacific Source Setting Facility Modifier None Typical Low $6.17 Median $6.92 Typical High $12.59 | Facility | None | $6.17 | $6.92 | $12.59 |
Pacific Source Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $8.91 Typical High $18.62 | Facility | None | $6.03 | $8.91 | $18.62 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $79.43 | Professional | None | $6.17 | $6.92 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $27.54 | Facility | None | $12.59 | $20.89 | $27.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.68 Median $5.01 Typical High $6.92 | Professional | None | $4.68 | $5.01 | $6.92 |
United Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $10.00 | Facility | None | $7.41 | $9.33 | $10.00 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $6.46 | Professional | None | $3.72 | $3.72 | $6.46 |
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 $6.17 Median $6.17 Typical High $8.91 | Professional | QW · Waived lab test | $6.17 | $6.17 | $8.91 |
Where Oregon sits
The same service costs 3.5 times more in Alaska 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· 17th of 51
$6.92
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.