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 $8.91 Median $11.48 Typical High $20.42 | Facility | None | $8.91 | $11.48 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $5.62 | Professional | None | $3.63 | $4.47 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $12.59 Typical High $18.62 | Facility | None | $7.41 | $12.59 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $5.13 Typical High $8.13 | Professional | None | $3.55 | $5.13 | $8.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $13.80 | Professional | None | $9.55 | $11.75 | $13.80 |
Moda Health Setting Facility Modifier None Typical Low $4.47 Median $5.75 Typical High $44.67 | Facility | None | $4.47 | $5.75 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $7.94 | Professional | None | $4.47 | $4.57 | $7.94 |
Pacific Source Setting Facility Modifier None Typical Low $4.57 Median $6.17 Typical High $9.33 | Facility | None | $4.57 | $6.17 | $9.33 |
Providence Setting Facility Modifier None Typical Low $4.47 Median $7.08 Typical High $18.62 | Facility | None | $4.47 | $7.08 | $18.62 |
Providence Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $79.43 | Professional | None | $4.57 | $5.50 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $20.42 | Facility | None | $9.12 | $16.22 | $20.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $5.89 | Professional | None | $3.47 | $3.89 | $5.89 |
United Setting Facility Modifier None Typical Low $5.50 Median $6.92 Typical High $7.41 | Facility | None | $5.50 | $6.92 | $7.41 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.63 Typical High $5.50 | Professional | None | $1.95 | $2.63 | $5.50 |
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 $4.57 Median $5.01 Typical High $7.59 | Professional | QW · Waived lab test | $4.57 | $5.01 | $7.59 |
Where Oregon sits
The same service costs 4.4 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· 13th of 51
$5.50
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.