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 $11.22 Median $22.39 Typical High $51.29 | Facility | None | $11.22 | $22.39 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $16.22 | Professional | None | $11.22 | $12.59 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $43.65 | Facility | None | $18.62 | $31.62 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $19.95 | Professional | None | $8.13 | $12.88 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $33.88 | Professional | None | $23.99 | $29.51 | $33.88 |
Moda Health Setting Facility Modifier None Typical Low $11.48 Median $74.13 Typical High $131.83 | Facility | None | $11.48 | $74.13 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $19.95 | Professional | None | $11.22 | $12.59 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $23.44 | Facility | None | $11.48 | $13.80 | $23.44 |
Pacific Source Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $43.65 | Facility | None | $11.22 | $17.78 | $43.65 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $79.43 | Professional | None | $11.48 | $13.80 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $51.29 | Facility | None | $22.91 | $40.74 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $13.49 | Professional | None | $8.71 | $9.77 | $13.49 |
United Setting Facility Modifier None Typical Low $13.80 Median $17.38 Typical High $18.62 | Facility | None | $13.80 | $17.38 | $18.62 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $13.80 | Professional | None | $4.90 | $6.17 | $13.80 |
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 $11.48 Median $11.75 Typical High $18.20 | Professional | QW · Waived lab test | $11.48 | $11.75 | $18.20 |
Where Oregon sits
The same service costs 13.2 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· 16th of 51
$15.85
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.