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 $15.49 Median $25.70 Typical High $46.77 | Facility | None | $15.49 | $25.70 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $14.45 | Professional | None | $10.23 | $11.22 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $28.84 Typical High $38.90 | Facility | None | $16.98 | $28.84 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $11.75 Typical High $19.05 | Professional | None | $7.41 | $11.75 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $30.20 | Professional | None | $21.38 | $26.30 | $30.20 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $20.42 Typical High $47.86 | Facility | None | $10.23 | $20.42 | $47.86 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $16.60 | Professional | None | $10.23 | $11.22 | $16.60 |
Pacific Source Setting Facility Modifier None Typical Low $10.47 Median $12.88 Typical High $21.38 | Facility | None | $10.47 | $12.88 | $21.38 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $38.90 | Facility | None | $10.00 | $15.14 | $38.90 |
Providence Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $79.43 | Professional | None | $10.47 | $12.59 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.89 Median $37.15 Typical High $46.77 | Facility | None | $20.89 | $37.15 | $46.77 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $12.02 | Professional | None | $7.94 | $8.91 | $12.02 |
United Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $16.98 | Facility | None | $12.59 | $15.85 | $16.98 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.50 Typical High $12.59 | Professional | None | $4.37 | $5.50 | $12.59 |
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 $11.48 Typical High $16.22 | Professional | QW · Waived lab test | $10.47 | $11.48 | $16.22 |
Where Oregon sits
The same service costs 5.6 times more in Minnesota 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· 15th of 51
$12.59
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.