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 $19.05 Median $38.02 Typical High $72.44 | Facility | None | $19.05 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $22.91 | Professional | None | $15.85 | $19.05 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $66.07 | Facility | None | $26.30 | $44.67 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $32.36 | Professional | None | $12.59 | $18.20 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $47.86 | Professional | None | $33.11 | $41.69 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $45.71 Typical High $120.23 | Facility | None | $16.22 | $45.71 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $35.48 | Professional | None | $15.49 | $19.05 | $35.48 |
Pacific Source Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $33.11 | Facility | None | $16.22 | $20.42 | $33.11 |
Pacific Source Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $25.12 Typical High $64.57 | Facility | None | $15.49 | $25.12 | $64.57 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $79.43 | Professional | None | $16.22 | $19.50 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $32.36 Median $57.54 Typical High $72.44 | Facility | None | $32.36 | $57.54 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $20.89 | Professional | None | $12.30 | $13.80 | $20.89 |
United Setting Facility Modifier None Typical Low $19.50 Median $24.55 Typical High $26.30 | Facility | None | $19.50 | $24.55 | $26.30 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $19.50 | Professional | None | $6.92 | $9.33 | $19.50 |
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 |
|---|---|---|---|---|---|
HealthNet Setting Professional Modifier 90 · Outside lab Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 90 · Outside lab | $15.49 | $15.49 | $15.49 |
Where Oregon sits
The same service costs 8.5 times more in Vermont 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· 15th of 51
$21.38
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.