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 $8.51 Median $16.60 Typical High $32.36 | Facility | None | $8.51 | $16.60 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $10.00 | Professional | None | $6.92 | $8.32 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $29.51 | Facility | None | $11.75 | $19.95 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $8.13 Typical High $14.13 | Professional | None | $5.50 | $8.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $21.38 | Professional | None | $15.14 | $18.62 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $7.24 Median $22.91 Typical High $53.70 | Facility | None | $7.24 | $22.91 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $16.98 | Professional | None | $6.92 | $8.51 | $16.98 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $10.00 Typical High $14.79 | Facility | None | $7.24 | $10.00 | $14.79 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $10.96 Typical High $28.84 | Facility | None | $6.92 | $10.96 | $28.84 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $79.43 | Professional | None | $7.24 | $8.71 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $32.36 | Facility | None | $14.45 | $25.12 | $32.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.37 Median $6.17 Typical High $9.12 | Professional | None | $5.37 | $6.17 | $9.12 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $11.48 | Facility | None | $8.71 | $10.72 | $11.48 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $8.71 | Professional | None | $3.02 | $4.07 | $8.71 |
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 $7.24 Median $7.94 Typical High $11.75 | Professional | QW · Waived lab test | $7.24 | $7.94 | $11.75 |
Where Oregon sits
The same service costs 5.8 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· 13th of 51
$9.77
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.