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 $56.23 Median $56.23 Typical High $100.00 | Facility | None | $56.23 | $56.23 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $30.90 | Professional | None | $19.95 | $21.88 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $61.66 Typical High $70.79 | Facility | None | $36.31 | $61.66 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $38.02 | Professional | None | $12.59 | $25.12 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $66.07 | Professional | None | $45.71 | $56.23 | $66.07 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $54.95 | Facility | None | $20.42 | $22.39 | $54.95 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $30.90 | Professional | None | $19.95 | $22.39 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $45.71 | Facility | None | $22.39 | $28.18 | $45.71 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $67.61 | Facility | None | $21.38 | $32.36 | $67.61 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $79.43 | Professional | None | $22.39 | $24.55 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $100.00 | Facility | None | $44.67 | $75.86 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $24.55 | Professional | None | $16.98 | $18.20 | $24.55 |
United Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $36.31 | Facility | None | $26.92 | $33.88 | $36.31 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | None | $13.49 | $13.49 | $23.44 |
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 $22.39 Median $22.39 Typical High $30.20 | Professional | QW · Waived lab test | $22.39 | $22.39 | $30.20 |
Where Oregon sits
The same service costs 5.4 times more in Alaska than in Georgia. 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
$24.55
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.