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 $5.37 Median $9.55 Typical High $17.38 | Facility | None | $5.37 | $9.55 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $5.50 | Professional | None | $3.80 | $4.57 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $10.96 Typical High $15.85 | Facility | None | $6.31 | $10.96 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $7.08 | Professional | None | $3.02 | $4.37 | $7.08 |
HealthNet Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $11.75 | Professional | None | $8.13 | $10.23 | $11.75 |
Moda Health Setting Facility Modifier None Typical Low $3.89 Median $13.18 Typical High $40.74 | Facility | None | $3.89 | $13.18 | $40.74 |
Moda Health Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $9.55 | Professional | None | $3.80 | $4.57 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $3.89 Median $5.37 Typical High $8.13 | Facility | None | $3.89 | $5.37 | $8.13 |
Pacific Source Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $6.03 Typical High $15.85 | Facility | None | $3.80 | $6.03 | $15.85 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $4.68 Typical High $79.43 | Professional | None | $3.89 | $4.68 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $17.38 | Facility | None | $7.76 | $13.80 | $17.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $5.01 | Professional | None | $2.95 | $3.31 | $5.01 |
United Setting Facility Modifier None Typical Low $4.68 Median $5.89 Typical High $6.31 | Facility | None | $4.68 | $5.89 | $6.31 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $4.68 | Professional | None | $2.34 | $3.24 | $4.68 |
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 $3.89 Median $4.37 Typical High $6.46 | Professional | QW · Waived lab test | $3.89 | $4.37 | $6.46 |
Where Oregon sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 16th of 51
$5.13
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.