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 $12.59 Median $31.62 Typical High $57.54 | Facility | None | $12.59 | $31.62 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $17.78 | Professional | None | $11.75 | $15.14 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $35.48 Typical High $52.48 | Facility | None | $20.89 | $35.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $22.91 | Professional | None | $10.00 | $14.45 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $38.02 | Professional | None | $26.92 | $33.11 | $38.02 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $39.81 Typical High $123.03 | Facility | None | $12.59 | $39.81 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $24.55 | Professional | None | $11.22 | $13.18 | $24.55 |
Pacific Source Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $26.30 | Facility | None | $12.88 | $14.45 | $26.30 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $18.62 Typical High $51.29 | Facility | None | $12.30 | $18.62 | $51.29 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $79.43 | Professional | None | $10.96 | $14.13 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $54.95 | Facility | None | $25.70 | $44.67 | $54.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $14.13 | Professional | None | $8.71 | $9.55 | $14.13 |
United Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $20.42 | Facility | None | $15.49 | $19.50 | $20.42 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $15.49 | Professional | None | $7.76 | $10.47 | $15.49 |
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 $10.47 Median $12.88 Typical High $17.38 | Professional | QW · Waived lab test | $10.47 | $12.88 | $17.38 |
Where Oregon sits
The same service costs 4.3 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· 19th of 51
$15.49
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.