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 $20.42 Median $42.66 Typical High $77.62 | Facility | None | $20.42 | $42.66 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $23.99 | Professional | None | $15.14 | $16.60 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $53.70 | Facility | None | $28.18 | $47.86 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.50 Typical High $28.84 | Professional | None | $10.00 | $19.50 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $51.29 | Professional | None | $35.48 | $43.65 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $42.66 Typical High $154.88 | Facility | None | $17.38 | $42.66 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $25.12 | Professional | None | $15.14 | $17.38 | $25.12 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $19.05 Typical High $34.67 | Facility | None | $15.49 | $19.05 | $34.67 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $25.12 Typical High $52.48 | Facility | None | $16.60 | $25.12 | $52.48 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $79.43 | Professional | None | $17.38 | $19.05 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $77.62 | Facility | None | $34.67 | $57.54 | $77.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $19.05 | Professional | None | $12.88 | $13.80 | $19.05 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $27.54 | Facility | None | $20.89 | $25.70 | $27.54 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $20.89 | Professional | None | $7.24 | $7.41 | $20.89 |
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 $17.38 Median $17.38 Typical High $23.44 | Professional | QW · Waived lab test | $17.38 | $17.38 | $23.44 |
Where Oregon sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 18th of 51
$20.42
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.